Provider First Line Business Practice Location Address:
1000 HARRINGTON BLVD.
Provider Second Line Business Practice Location Address:
ATTN: SPECIAL CARE NURSERY
Provider Business Practice Location Address City Name:
MT. CLEMENS
Provider Business Practice Location Address State Name:
MI
Provider Business Practice Location Address Postal Code:
48043
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
586-493-8296
Provider Business Practice Location Address Fax Number:
586-741-4114
Provider Enumeration Date:
05/23/2006