Provider First Line Business Practice Location Address:
420 E GRUNDY AVE
Provider Second Line Business Practice Location Address:
SPRINGFIELD NSG AND REHAB CENTER
Provider Business Practice Location Address City Name:
SPRINGFIELD
Provider Business Practice Location Address State Name:
KY
Provider Business Practice Location Address Postal Code:
40069-1173
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
859-336-7771
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
06/28/2007