Promedica Skilled Nursing And Rehabilitation (Marietta)
LBN: Manor Care Of Marietta Ga, Llc
Promedica Skilled Nursing And Rehabilitation (Marietta) is an health care organization with primary practice located at 4360 Johnson Ferry Pl , Marietta GA 30068-2016. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty.
Manor Care Of Marietta Ga, Llc can be contacted via phone (770) 971-5870, or through Allen, Martin D via phone (419) 252-5743.
Contact Information
Primary practice address
4360 Johnson Ferry Pl
Marietta GA 30068-2016
Phone: (770) 971-5870
Fax: (770) 321-8588
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing & Custodial Care Facilities / Skilled Nursing Facility | 314000000X | 1-033-1601 | Georgia |
Profile Details
| NPI number | 1619914520 |
|---|---|
| LBN Legal business name | Manor Care Of Marietta Ga, Llc |
| DBA Doing business as | Promedica Skilled Nursing And Rehabilitation (Marietta) |
| Authorized official | Allen, Martin D |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 31st, 2006 |
| Last updated | Feb 13th, 2023 - about 2 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1619914520 | NPPES |
| Georgia | MEDICAID | 000236211A |
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