Provider First Line Business Practice Location Address:
164 NURSING HOME CIR
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
BLAIRSVILLE
Provider Business Practice Location Address State Name:
GA
Provider Business Practice Location Address Postal Code:
30512-3117
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
706-745-4948
Provider Business Practice Location Address Fax Number:
706-745-1971
Provider Enumeration Date:
03/31/2006