Marietta Seniors Club LLC

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

Legal business name

MARIETTA SENIORS CLUB LLC

Practice address

748 Lawrence St NE
Marietta, GA 30060-2144

Phone

(404) 707-1774

NPI assigned

Sep 6, 2019

Last updated

Sep 6, 2019By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Juliana Valencia Posada

Title

Director

Phone

(404) 707-1774

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1567728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1567728000000",
    "number": "1134778749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "748 LAWRENCE ST NE",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300602144",
            "telephone_number": "404-707-1774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "748 LAWRENCE ST NE",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300602144",
            "telephone_number": "404-707-1774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIETTA SENIORS CLUB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-06",
        "last_updated": "2019-09-06",
        "status": "A",
        "authorized_official_last_name": "VALENCIA POSADA",
        "authorized_official_first_name": "JULIANA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "404-707-1774"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marietta Psychiatry Associates PC
• Marietta Public Health Center (Cobb County Board of Health)
• Marietta Rheumatology Associates, P.C.
• Marietta Roswell Counseling, LLC
• Marietta Senior Living LLC (Spring Mountain Assisted Living and Memory Care Community)
• Marietta Smile Gallery
• Marietta Smiles LLC
• Marietta Spinal Rehab Center
• Marietta Springs LLC
• Marietta Square Chiropractic, Inc. (Chiropractic Care of Marietta Square)

• Adult Day Care Clinic/Center in Marietta, GA
• Providers in Marietta, GA by specialty
• Adult Day Care Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.