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1043672819
CORRECTLIFE BOSTICK, LLC
MILLEDGEVILLE, GA
NPI
1043672819
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Entity Type
Organization
Authorized Contact
CARLO A MUSSO
President
770-692-4750
Organization Subpart ?
No
Primary Taxonomy
313M00000X Nursing Facility/Intermediate Care Facility
Enumeration Date
2016-03-22
Last Update Date
2016-04-06
Business Address
CORRECTLIFE BOSTICK, LLC
1 BOSTICK CIR
MILLEDGEVILLE, GA 31062-7526
Phone number: 770-692-4750
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Mailing Address
CORRECTLIFE BOSTICK, LLC
3384 PEACHTREE RD NE SUITE 700
ATLANTA, GA 30326-1181
Phone number: 770-692-4750
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