NPI 1083263545

Temple Personal Care Home LLC

Organisation Nursing Home Administrator Marietta, GA

Practice location

Address: 838 Shadybrook Dr NE, Marietta, GA 30066-6215
Phone: (404) 660-1571

Authorised official

Name: Marie Gertrude Bitota Tshimanga
Title: Director
Phone: (404) 660-1571

Registered specialties

Nursing Home Administrator Primary

Nursing Service Related Providers Taxonomy 376G00000X

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Registry record

NPI: 1083263545
Entity type: Organization
NPI issued: 8 Sep 2019
Record last updated: 8 Sep 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.