Provider First Line Business Practice Location Address:
29 STRANGE RD
Provider Second Line Business Practice Location Address:
FRANKLIN COUNTY GROUP HOME #2
Provider Business Practice Location Address City Name:
LOUISBURG
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
27549-8564
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
919-496-6957
Provider Business Practice Location Address Fax Number:
252-438-6720
Provider Enumeration Date:
02/27/2008