Correctlife Bostick, LLC
NPI #1043672819 in Milledgeville, Georgia
Provider Information
- NPI Number
- 1043672819
- Entity Type
- Organization
- Organization Name
- Correctlife Bostick, LLC
- Primary Specialty
- Nursing Facility/Intermediate Care Facility
- Enumeration Date
- Mar 22, 2016
- Last Updated
- Apr 6, 2016
Practice Location
- Address
- 1 BOSTICK CIR
- City
- Milledgeville
- State
- Georgia
- ZIP Code
- 31062-7526
- Phone
- (770) 692-4750
Authorized Official
- Name
- CARLO A MUSSO, MD
- Title
- PRESIDENT
- Phone
- (770) 692-4750
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nursing Facility/Intermediate Care Facility |
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