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COLUMBUS, GA
NPI1528306404
Entity TypeOrganization
Authorized ContactMICHELLE TORRES
Nursing Superisor
706-221-5025
Organization Subpart ?No
Primary Taxonomy171W00000X Contractor
Enumeration Date2013-01-28
Last Update Date2013-01-28
Business Address
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3649 VICTORY DR
COLUMBUS, GA 31903-4553
Phone number: 706-221-5025
Mailing Address
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825 N HAMMONDS FERRY RD
LINTHICUM, MD 21090-1355
Phone number: 443-457-6788