Provider First Line Business Practice Location Address:
WINDSOR EL CAMINO CARE CENTER
Provider Second Line Business Practice Location Address:
2540 CARMICHAEL WAY
Provider Business Practice Location Address City Name:
CARMICHAEL
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
95608
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
347-366-1085
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
12/23/2014