Provider First Line Business Practice Location Address:
100 ROGERS LANE
Provider Second Line Business Practice Location Address:
HERITAGE CARE CENTER
Provider Business Practice Location Address City Name:
SHELBY
Provider Business Practice Location Address State Name:
OH
Provider Business Practice Location Address Postal Code:
44875
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
419-347-1313
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
03/28/2007