Provider First Line Business Practice Location Address:
2700 CHESTNUT ST
Provider Second Line Business Practice Location Address:
CHESTNUT RIDGE ALF
Provider Business Practice Location Address City Name:
CHESTER
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
19013-4867
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
610-447-9148
Provider Business Practice Location Address Fax Number:
610-874-4796
Provider Enumeration Date:
04/02/2007