Provider First Line Business Practice Location Address:
220 S RIVER ST
Provider Second Line Business Practice Location Address:
C/O ADULT SERVICES UNLIMITED T/A RIVERSIDE REHAB
Provider Business Practice Location Address City Name:
PLAINS
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
18705-1137
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
570-824-3444
Provider Business Practice Location Address Fax Number:
570-824-4021
Provider Enumeration Date:
07/10/2006