Provider First Line Business Practice Location Address:
100 WEST KINGSBRIDGE ROAD
Provider Second Line Business Practice Location Address:
JEWISH HOME LIFE CARE
Provider Business Practice Location Address City Name:
BRONX
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10468
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
718-410-1288
Provider Business Practice Location Address Fax Number:
718-410-1580
Provider Enumeration Date:
02/25/2010