| NPI | 1134500606 |
|---|---|
| Former Legal Business Name | MARIANNA HEALTH & REHAB |
| Entity Type | Organization |
| Authorized Contact | MARTINE CHARLES Owner 678-637-3416 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NR0400X (Licence: FL ch10381) |
| Enumeration Date | 2015-06-10 |
| Last Update Date | 2016-10-31 |