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MARQUITA SHINES NPI 1871834846


NPI Information

NPI: 1871834846
Provider Name: MARQUITA SHINES

Doing Business As: ALL SEASON PERSONAL CARE HOME

Classification: Custodial Care Facility - 311ZA0620X
Entity Type: Organization

Specialization: Adult Care Home

Address:
55 HICKORY CIR
CARROLLTON, GA
ZIP 30116
Phone: (678) 601-3504
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MARQUITA SHINES is an adult care home custodial care facility in Carrollton, GA. The provider is a custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment. MARQUITA SHINES NPI is 1871834846. The provider is registered as an organization entity type.
The provider Is Doing Business As All Season Personal Care Home.

The provider's business location address is:

55 HICKORY CIR
CARROLLTON, GA
ZIP 30116-692
Phone: (678) 601-3504

The provider's authorized official is Marquita Shunta Shines .
The authorized official title is Owner and has the following contact phone number (352) 653-0408.

The enumeration date for this NPI number is 3/15/2013 and was last updated on 3/15/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1311Z00000XCustodial Care FacilityNo
2347C00000XPrivate VehicleNo
3311ZA0620XCustodial Care FacilityAdult Care HomeYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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