Provider First Line Business Practice Location Address:
GENESIS REHAB BLOOM
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
KOKOMO
Provider Business Practice Location Address State Name:
IN
Provider Business Practice Location Address Postal Code:
46901
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
317-627-0723
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
03/07/2007