Provider First Line Business Practice Location Address:
83 CHURCH LANE
Provider Second Line Business Practice Location Address:
MARABLE'S HEART-TO-HEART PERSONAL CARE HOME INC.
Provider Business Practice Location Address City Name:
QUITMAN
Provider Business Practice Location Address State Name:
GA
Provider Business Practice Location Address Postal Code:
31643
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
229-263-6553
Provider Business Practice Location Address Fax Number:
229-263-6553
Provider Enumeration Date:
06/22/2010