Provider First Line Business Practice Location Address:
1650 DIAGONAL RD
Provider Second Line Business Practice Location Address:
THE HOUSE OF THE LORD
Provider Business Practice Location Address City Name:
AKRON
Provider Business Practice Location Address State Name:
OH
Provider Business Practice Location Address Postal Code:
44320-4002
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
330-864-9073
Provider Business Practice Location Address Fax Number:
330-864-1617
Provider Enumeration Date:
05/23/2007