Provider First Line Business Practice Location Address:
203 OAK PARK
Provider Second Line Business Practice Location Address:
NHC OAK PARK
Provider Business Practice Location Address City Name:
MCMINNVILLE
Provider Business Practice Location Address State Name:
TN
Provider Business Practice Location Address Postal Code:
37110
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
931-473-6039
Provider Business Practice Location Address Fax Number:
931-506-5065
Provider Enumeration Date:
10/28/2006