Provider First Line Business Practice Location Address:
925 NEW GARDEN ROAD
Provider Second Line Business Practice Location Address:
FRIENDS HOMES INC
Provider Business Practice Location Address City Name:
GREENSBORO
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
27410-3267
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
336-292-8187
Provider Business Practice Location Address Fax Number:
336-854-9137
Provider Enumeration Date:
06/08/2005