Provider First Line Business Practice Location Address:
301 KILDAIRE WOODS DR
Provider Second Line Business Practice Location Address:
WOODLAND TERRACE ASSISTED LIVING FACILITY
Provider Business Practice Location Address City Name:
CARY
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
27511
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
919-481-9199
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
05/11/2007