Organization
HCC HEALTHCARE OF MARIETTA, LLC
Active
Other names
Shoreham at Marietta
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LOUANN ANSTIS (PRIVACY OFFICER)
(770) 619-0866
Entity
Organization
Contact information
Practice address
811 KENNESAW AVENUE, MARIETTA, GA 30060
(770) 422-2451
(770) 499-2235
Mailing address
925 N POINT PKWY, SUITE 440, ALPHARETTA, GA 30005-5210
(770) 619-0866
(770) 870-2892
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
00048991
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00142986A
—
GA
Enumeration date
07/09/2006
Last updated
08/22/2020
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