Provider First Line Business Practice Location Address:
FARWELL RECREATION CENTER
Provider Second Line Business Practice Location Address:
2711 E. OUTER DRIVE
Provider Business Practice Location Address City Name:
DETROIT, MI
Provider Business Practice Location Address State Name:
MI
Provider Business Practice Location Address Postal Code:
48234
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
131-341-9193
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
04/01/2024