Provider First Line Business Practice Location Address:
916 E LEWIS ST
Provider Second Line Business Practice Location Address:
HEARTLAND CARE PARTNERS
Provider Business Practice Location Address City Name:
WHITEHALL
Provider Business Practice Location Address State Name:
MI
Provider Business Practice Location Address Postal Code:
49461-1699
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
419-252-6018
Provider Business Practice Location Address Fax Number:
800-564-5952
Provider Enumeration Date:
07/07/2006