Provider First Line Business Practice Location Address:
2021 CHESTER BLVD
Provider Second Line Business Practice Location Address:
REID REHABILITATION CENTER
Provider Business Practice Location Address City Name:
RICHMOND
Provider Business Practice Location Address State Name:
IN
Provider Business Practice Location Address Postal Code:
47374-1235
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
765-939-7000
Provider Business Practice Location Address Fax Number:
765-827-7972
Provider Enumeration Date:
02/22/2006