Provider First Line Business Practice Location Address:
2330 E 15TH ST
Provider Second Line Business Practice Location Address:
HERITAGE BOARD & CARE
Provider Business Practice Location Address City Name:
LONGBEACH
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
90804
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
562-433-7314
Provider Business Practice Location Address Fax Number:
562-433-1316
Provider Enumeration Date:
04/02/2008