Organization
MARIAC ENTERPRISES, LLC
Active
Other names
BrightStar Care of Marietta
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID WILLIAM EVANS (PRESIDENT)
(678) 290-7827
Entity
Organization
Contact information
Practice address
833 CAMPBELL HILL ST NW, SUITE 116, MARIETTA, GA 30060-1134
(678) 290-7827
(678) 290-7817
Mailing address
833 CAMPBELL HILL ST NW, SUITE 116, MARIETTA, GA 30060-1134
(678) 290-7827
(678) 290-7817
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
033-R-0452
GA
253Z00000X
In Home Supportive Care Agency
Primary
033-R-0452
GA
Other
Enumeration date
02/21/2011
Last updated
07/07/2014
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