Provider First Line Business Practice Location Address:
FAMILY CARE CENTER
Provider Second Line Business Practice Location Address:
1425 STORY AVENUE
Provider Business Practice Location Address City Name:
LOUISVILLE
Provider Business Practice Location Address State Name:
KY
Provider Business Practice Location Address Postal Code:
40206
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
502-584-1369
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
05/01/2007