Individual
MS. MARLENE GRAHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1371 PIEDMONT RD NE, MARIETTA, GA 30066-4037
(678) 687-7561
Mailing address
1371 PIEDMONT RD NE, MARIETTA, GA 30066-4037
(678) 687-7561
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
311Z00000X
Custodial Care Facility
Primary
—
—
Other
Enumeration date
06/26/2020
Last updated
06/26/2020
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