Organization
MARABLE'S HEART-TO-HEART PCH INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ULYSSES MARABLE JR. (OWNER-DIRECTOR)
(229) 263-6553
Entity
Organization
Contact information
Practice address
83 CHURCH LANE, MARABLE'S HEART-TO-HEART PERSONAL CARE HOME INC., QUITMAN, GA 31643
(229) 263-6553
(229) 263-6553
Mailing address
83 CHURCH LANE, MARABLE'S HEART-TO-HEART PERSONAL CARE HOME INC., QUITMAN, GA 31643
(229) 263-6553
(229) 263-6553
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
014-01-011-1
GA
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
014-01-011-1
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
532599858A
—
GA
Enumeration date
06/22/2010
Last updated
06/23/2010
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