Organization
MARTIN'S MANOR, LLC
Active
Other names
Martin's Manor, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DENNIS P MARTIN JR. MPA (OWNER/ADMINISTRATOR)
(678) 499-8308
Entity
Organization
Contact information
Practice address
909 RING NECKED CT, STOCKBRIDGE, GA 30281-4475
(678) 499-8308
(678) 884-5621
Mailing address
1740 HUDSON BRIDGE RD, STOCKBRIDGE, GA 30281-6331
(678) 499-8308
(678) 884-5621
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
11/16/2021
Last updated
01/01/2022
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