Maranda Broughton
Maranda Broughton is an Assisted Living Facility in Atlanta, Georgia. Practices as a sole proprietor. Registered with an NPI since 2022.
- In the registry since
- 2022
- Specialties on file
- 2
Practice location Address checks out
3146 Panther Trl SWAtlanta, GA 30311-5426
Phone: (404) 621-7166
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Specialties & licences
| Adult Care Home Facility (primary) | Taxonomy 311ZA0620X |
|---|---|
| Assisted Living Facility | Taxonomy 310400000X |
Record details
| NPI number | 1992427033 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | September 15, 2022 |
| Last updated in NPPES | September 19, 2022 |
| Certification date | September 19, 2022 |
| Mailing address | 3146 Panther Trl Sw, Atlanta, GA 30311-5426 |
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