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MARTHALENE LOGAN
NPI 1700289048
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Bethlehem, GA

Active since October 01, 2014
4514 YORKTOWN DR, BETHLEHEM, GA 30620(678) 635-5463 Get Directions Write a Review

NPPES record last updated: October 1, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Marthalene Logan NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARTHALENE LOGAN (NPI 1700289048) is an individual community based residential treatment facility, intellectual and/or developmental disabilities provider in Bethlehem, Georgia and active in the NPI registry since October 2014.

NPPES Registry Identity

NPI1700289048
Entity TypeIndividualFemale
Primary Taxonomy320900000X
Provider Legal NameMARTHALENE LOGAN
Location Address4514 YORKTOWN DRBethlehem, GA 30620-4826
Mailing Address250 North AveAthens, GA 30601-2244 · (706) 389-6790 · Fax (706) 389-6760
Phone(678) 635-5463
Sole ProprietorYes
Enumeration DateOctober 1, 2014
✔ NPI 1700289048 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities
Taxonomy Code320900000X
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.
4514 YORKTOWN DR, Bethlehem, GA 30620
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Marthalene Logan's NPI number?

The NPI number for Marthalene Logan is 1700289048. It was assigned to this individual provider in the NPPES registry on October 1, 2014.

Where is Marthalene Logan located?

Marthalene Logan practices at 4514 Yorktown Dr, Bethlehem, GA 30620. The listed phone number is (678) 635-5463.

What is Marthalene Logan's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.

When was this NPI record last updated?

The NPPES record for Marthalene Logan was last updated on October 1, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.