Provider First Line Business Practice Location Address:
2500 ADAMS AVE
Provider Second Line Business Practice Location Address:
HOLY FAMILY RESIDENCE
Provider Business Practice Location Address City Name:
SCRANTON
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
18509-1515
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
570-342-7180
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
01/07/2010