Provider First Line Business Practice Location Address:
HEARTLAND FAMILY SERVICE
Provider Second Line Business Practice Location Address:
515 EAST BROADWAY
Provider Business Practice Location Address City Name:
COUNCIL BLUFFS
Provider Business Practice Location Address State Name:
IA
Provider Business Practice Location Address Postal Code:
51503
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
712-322-1407
Provider Business Practice Location Address Fax Number:
712-322-6833
Provider Enumeration Date:
08/16/2005