Provider First Line Business Practice Location Address:
1354 S LAKE PARK AVENUE
Provider Second Line Business Practice Location Address:
ST MARYS SPECTRUM REHAB CENTER CARDIAC
Provider Business Practice Location Address City Name:
HOBART
Provider Business Practice Location Address State Name:
IN
Provider Business Practice Location Address Postal Code:
46342
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
219-947-6089
Provider Business Practice Location Address Fax Number:
219-947-6356
Provider Enumeration Date:
03/29/2007