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NPI 1043576812 · Nursing Facility/Intermediate Care Facility · Marietta, GA
Provider details
- NPI number
- 1043576812
- Entity type
- Organization
- Primary specialty
- Nursing Facility/Intermediate Care FacilityNursing & Custodial Care Facilities
- Authorized official
- Andrea Romine, Owner/Director of Nursing
- License
- 033R0646 (GA)
Practice location
4066 Christacy Way
Marietta, GA 30066-2786
Phone: (770) 316-8321
Fax: (770) 485-8334
Mailing address
4066 Christacy Way
Marietta, GA 30066-2786
Registry dates
- Enumerated
- 2012-04-06
- Last updated
- 2012-04-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.