Provider First Line Business Practice Location Address:
ROUTE 92 AT ROUTE 60
Provider Second Line Business Practice Location Address:
GENESIS HEALTHCARE
Provider Business Practice Location Address City Name:
WHITE SULPHUR SPRINGS
Provider Business Practice Location Address State Name:
WV
Provider Business Practice Location Address Postal Code:
24986
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
304-536-4661
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
05/21/2009