Provider First Line Business Practice Location Address:
ABILENE STATE SUPPORTED LIVING CENTER
Provider Second Line Business Practice Location Address:
2501 MAPLE STREET
Provider Business Practice Location Address City Name:
ABILENE
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
79602-5058
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
325-692-4053
Provider Business Practice Location Address Fax Number:
325-795-3037
Provider Enumeration Date:
11/03/2009