Provider First Line Business Practice Location Address:
2 WALNUT AVENUE
Provider Second Line Business Practice Location Address:
FRANKLIN COMMUNITY RESIDENCE
Provider Business Practice Location Address City Name:
SOMERSET
Provider Business Practice Location Address State Name:
NJ
Provider Business Practice Location Address Postal Code:
08873
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
732-249-1900
Provider Business Practice Location Address Fax Number:
732-249-1919
Provider Enumeration Date:
06/24/2015