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Organization

LESLIE'S STAFFING & REHABILITATION SERVICES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CARLA LESLIE-GOODEN (CEO/DIRECTOR)
(678) 870-4467
Entity
Organization

Contact information

Practice address
160 BASTILLE WAY, FAYETTEVILLE, GA 30214-7653
(678) 870-4467
(770) 626-3421
Mailing address
160 BASTILLE WAY, FAYETTEVILLE, GA 30214-7653
(678) 870-4467
(770) 626-3421

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
343900000X
Non-emergency Medical Transport (VAN)
347C00000X
Private Vehicle

Other

Enumeration date
04/01/2016
Last updated
04/17/2016
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