IndividualActive
Maranda Broughton
NPI 1992427033 · Adult Care Home Facility · Atlanta, GA
Provider details
- NPI number
- 1992427033
- Entity type
- Individual
- Primary specialty
- Adult Care Home FacilityNursing & Custodial Care Facilities
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Nursing & Custodial Care Facilities
- Assisted Living Facility310400000X
Nursing & Custodial Care Facilities
Practice location
3146 Panther Trl Sw
Atlanta, GA 30311-5426
Phone: (404) 621-7166
Approximate (ZIP-level) locationGet directions
Mailing address
3146 Panther Trl Sw
Atlanta, GA 30311-5426
Registry dates
- Enumerated
- 2022-09-15
- Last updated
- 2022-09-19
- Certified
- 2022-09-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.