MARION'S PERSONAL CARE HOME NPI 1902108558

NPI Information

NPI: 1902108558
Provider Name: MARION'S PERSONAL CARE HOME
Classification: Custodial Care Facility - 311ZA0620X
Entity Type: Organization

Specialization: Adult Care Home

Address:
942 PRESERVE PARK DR
LOGANVILLE, GA
ZIP 30052
Phone: (404) 578-2615
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MARION'S PERSONAL CARE HOME is an adult care home custodial care facility in Loganville, 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. MARION'S PERSONAL CARE HOME NPI is 1902108558. The provider is registered as an organization entity type.

The provider's business location address is:

942 PRESERVE PARK DR
LOGANVILLE, GA
ZIP 30052-315
Phone: (404) 578-2615

The provider's authorized official is Merlyn Kirk .
The authorized official title is Owner and has the following contact phone number (404) 578-2615.

The enumeration date for this NPI number is 12/1/2010 and was last updated on 12/1/2010.

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
1	311ZA0620X	Custodial Care Facility	Adult Care Home	2010008278	GEORGIA	Yes

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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