Org ID
10-00212
License ID
647495
In city limits?
No
County
Expiration Date
UBI
603384885
Contact Name
JUSTIN MIGNOGNA
call Phone: (561) 672-7455
Premises Location
1000 ALDERMAN DR
Location State
GA
Location Zip
30005
Location City
Mailing City
Mailing State
DE
Mailing Zip
19801
Category