Provider First Line Business Practice Location Address:
MAIN STREET
Provider Second Line Business Practice Location Address:
FAMILY HEALTCARE ASSOCIATES INC
Provider Business Practice Location Address City Name:
PINEVILLE
Provider Business Practice Location Address State Name:
WV
Provider Business Practice Location Address Postal Code:
24874-1650
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
304-732-6611
Provider Business Practice Location Address Fax Number:
304-732-9161
Provider Enumeration Date:
08/31/2006