Organization
MARIETTA HEALTH AND REHABILITATION CENTER, INC.
Active
Parent organization
PROEALTH RESOURCE GROUP, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
PROEALTH RESOURCE GROUP, INC.
Authorized official
MR. RICHARD EDWARD FALLAW SR. (PRESIDENT)
(229) 268-7510
Entity
Organization
Contact information
Practice address
50 SAINE DR SW, MARIETTA, GA 30008-3824
(770) 429-8600
(770) 429-8677
Mailing address
50 SAINE DR SW, MARIETTA, GA 30008-3824
(770) 429-8600
(770) 429-8677
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
1-033-1793
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00202507A
—
GA
Enumeration date
09/27/2005
Last updated
10/04/2007
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