Provider First Line Business Practice Location Address:
415 SOUTHERN BLVD
Provider Second Line Business Practice Location Address:
KING JAMES CARE CENTER
Provider Business Practice Location Address City Name:
CHATHAM
Provider Business Practice Location Address State Name:
NJ
Provider Business Practice Location Address Postal Code:
07928-1488
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
973-822-8311
Provider Business Practice Location Address Fax Number:
973-822-8311
Provider Enumeration Date:
05/08/2007