Provider First Line Business Practice Location Address:
1139 MAIN AVE
Provider Second Line Business Practice Location Address:
GENESIS HEALTH CARE GREENWOOD CENTER
Provider Business Practice Location Address City Name:
WARWICK
Provider Business Practice Location Address State Name:
RI
Provider Business Practice Location Address Postal Code:
02886-1940
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
401-739-6600
Provider Business Practice Location Address Fax Number:
401-738-0310
Provider Enumeration Date:
06/11/2006