Provider First Line Business Practice Location Address:
1160 W BROAD ST
Provider Second Line Business Practice Location Address:
LOWER LIGHTS CHRISTIAN HEALTH CENTER
Provider Business Practice Location Address City Name:
COLUMBUS
Provider Business Practice Location Address State Name:
OH
Provider Business Practice Location Address Postal Code:
43222-1317
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
614-274-1455
Provider Business Practice Location Address Fax Number:
614-274-2040
Provider Enumeration Date:
09/15/2010