Provider First Line Business Practice Location Address:
1208 NEW GARDEN RD
Provider Second Line Business Practice Location Address:
BRIGTON GARDENS OF GREENSBORO
Provider Business Practice Location Address City Name:
GREENSBORO
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
27410
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
336-763-2160
Provider Business Practice Location Address Fax Number:
336-285-0061
Provider Enumeration Date:
09/01/2016