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Organization

RESIDENTIAL LIVING, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. VALERIA BRODERICK (OWNER)
(678) 927-7332
Entity
Organization

Contact information

Practice address
7861 COLLINSWOOD CT, JONESBORO, GA 30236-3399
(678) 927-7332
(678) 489-3009
Mailing address
7861 COLLINSWOOD CT, JONESBORO, GA 30236-3399
(678) 927-7332
(678) 489-3009

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
031011481
GA

Other

Enumeration date
07/08/2011
Last updated
07/08/2011
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