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Organization

MARMALADE HEALTHCARE LLC

Active
Other names
Abbey Hospice
Organization subpart
No

Provider details

NPI number
Authorized official
ELLEN T PETRY RN (EXECUTIVE ADMINISTRATOR)
(770) 464-5858
Entity
Organization

Contact information

Practice address
215 AZALEA CT, SOCIAL CIRCLE, GA 30025-5037
(770) 464-5858
(770) 464-5870
Mailing address
215 AZALEA CT, SOCIAL CIRCLE, GA 30025-5037
(770) 464-5858
(770) 464-5870

Taxonomy

Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
107151H
GA
315D00000X
Inpatient Hospice
Primary
107151H
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00598925
GA
Enumeration date
01/05/2007
Last updated
09/11/2025
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