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Moon River, Llc
Home Health Agency in Marietta, Georgia
NPI 1306121017

Moon River, Llc is a Home Health Agency based in Marietta, GA. Moon River, Llc practices in Marietta, GA. The NPI Number for Moon River, Llc is 1306121017 and holds a License No. (Georgia).

The current practice location address for Moon River, Llc is 790 Oak Trail Dr., Marietta, GA and can be reached out via phone at 770-977-6866 and via fax at 770-977-6887.

Location: 790 Oak Trail Dr., Marietta, GA, 30062-7502
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1306121017
Provider Name
Moon River, Llc
Credential
Provider Entity Type
Organization
Address
790 Oak Trail Dr., Marietta, GA, 30062-7502
Phone Number
770-977-6866
Fax Number
770-977-6887
Provider Enumeration Date
10/13/2011
Last Update Date
03/09/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
223654765A 05 GA
institution
Provider Business Practice Location Address Details
Address
790 Oak Trail Dr.
City
Marietta
State
Georgia
Zip
30062-7502
Phone Number
770-977-6866
Fax Number
770-977-6887
person
Provider Business Mailing Address Details
Address
790 Oak Trail Dr.
City
Marietta
State
Georgia
Zip
30062-7502
Phone Number
770-977-6866
Fax Number
770-977-6887
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Home Health
Speciality
-
Taxonomy
251E00000X
License No.
()
Definition
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
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