Provider First Line Business Practice Location Address:
220 N 6TH AVE E
Provider Second Line Business Practice Location Address:
ATTN: HOME CARE
Provider Business Practice Location Address City Name:
DULUTH
Provider Business Practice Location Address State Name:
MN
Provider Business Practice Location Address Postal Code:
55805-1952
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
218-249-6111
Provider Business Practice Location Address Fax Number:
218-249-6166
Provider Enumeration Date:
05/17/2006