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Organization

BRISTOL VILLAGE MANAGEMENT LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. MATTHEW STEPHEN (ADMINISTRATOR)
(470) 207-7250
Entity
Organization

Contact information

Practice address
1358 MANCHESTER DR NE, CONYERS, GA 30012-3881
(470) 207-7250
(470) 207-7249
Mailing address
1358 MANCHESTER DR NE, CONYERS, GA 30012-3881
(470) 207-7250
(470) 207-7249

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
311500000X
Alzheimer Center (Dementia Center)

Other

Enumeration date
04/22/2015
Last updated
04/22/2015
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