Organization
MANOR CARE OF MARIETTA GA, LLC
Active
Other names
ProMedica Skilled Nursing and Rehabilitation (Marietta)
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARTIN D ALLEN (DIRECTOR)
(419) 252-5743
Entity
Organization
Contact information
Practice address
4360 JOHNSON FERRY PL, MARIETTA, GA 30068-2016
(770) 971-5870
(770) 321-8588
Mailing address
333 N SUMMIT ST, TOLEDO, OH 43604-2615
(419) 252-5500
(877) 385-9446
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
1-033-1601
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000236211A
—
GA
Enumeration date
05/31/2006
Last updated
02/13/2023
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