Organization
LESLIE'S STAFFING & REHABILITATION SERVICES
Active
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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