| Organization Name: | MARMALADE HEALTHCARE LLC |
| NPI Number: | 1356498737 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ELLEN T PETRY (EXECUTIVE ADMINISTRATOR) |
| Mailing Address: | 215 Azalea Ct Social Circle |
| State: | GA US |
| Postal Code: | 300255037 |
| Phone Number: | 7704645858 |
| Fax Number: | 7704645870 |
| NPI Enumeration Date: | 01/05/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251G00000X |
| License Number: | 107151H |
| Healthcare Provider Taxonomy: (Secondary) | X |
| State: | GA |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Hospice Care, Community Based |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |