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1992095277
LIFE BEYOND
COLLEGE PARK, GA
NPI
1992095277
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Entity Type
Organization
Authorized Contact
JACQUELYN ANN SUBLETT
CEO
678-705-7636
Organization Subpart ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2011-04-08
Last Update Date
2011-04-08
Business Address
LIFE BEYOND
435 BURDETT RIDGE CT
COLLEGE PARK, GA 30349-3785
Phone number: 678-705-7636
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Mailing Address
LIFE BEYOND
435 BURDETT RIDGE CT
COLLEGE PARK, GA 30349-3785
Phone number: 678-705-7636
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