Provider First Line Business Practice Location Address:
907 HIGHWAY 82 WEST
Provider Second Line Business Practice Location Address:
CRYSTAL HEALTH AND REHAB CENTER
Provider Business Practice Location Address City Name:
GREENWOOD
Provider Business Practice Location Address State Name:
MS
Provider Business Practice Location Address Postal Code:
38930
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
662-455-3462
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
10/31/2007