Provider First Line Business Practice Location Address:
LOUIS STOKES CLEVELAND MEDICAL CENTER
Provider Second Line Business Practice Location Address:
1406 TOD AVE NW WARREN VA CBOC
Provider Business Practice Location Address City Name:
WARREN
Provider Business Practice Location Address State Name:
OH
Provider Business Practice Location Address Postal Code:
44485
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
330-392-0311
Provider Business Practice Location Address Fax Number:
216-229-2897
Provider Enumeration Date:
12/07/2006