Provider First Line Business Practice Location Address:
80 JOHN COOK NURSING HOME RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
HINTON
Provider Business Practice Location Address State Name:
WV
Provider Business Practice Location Address Postal Code:
25951-5073
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
304-860-9198
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
10/17/2024