| Residential Living, Inc. | |
|
7861 Collinswood Ct Jonesboro GA 30236-3399 | |
| (678) 927-7332 | |
| (678) 489-3009 |
| Full Name | Residential Living, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 7861 Collinswood Ct, Jonesboro, Georgia |
| Authorized Official Name and Position | Valeria Broderick (OWNER) |
| Authorized Official Contact | 6789277332 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Residential Living, Inc. 7861 Collinswood Ct Jonesboro GA 30236-3399 Ph: (678) 927-7332 | Residential Living, Inc. 7861 Collinswood Ct Jonesboro GA 30236-3399 Ph: (678) 927-7332 |
| NPI Number | 1629365705 |
|---|---|
| Provider Enumeration Date | 07/08/2011 |
| Last Update Date | 07/08/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629365705 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 031011481 (Georgia) | Primary |
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