Provider First Line Business Practice Location Address:
1305 5TH AVE
Provider Second Line Business Practice Location Address:
COMMUNITY LIFE
Provider Business Practice Location Address City Name:
MCKEESPORT
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
15132-2424
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
412-675-3111
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
07/23/2006