Provider First Line Business Practice Location Address:
CARE STAN 6100 CHANNINGWAY BLVD
Provider Second Line Business Practice Location Address:
SUITE 700
Provider Business Practice Location Address City Name:
COLUMBUS
Provider Business Practice Location Address State Name:
OH
Provider Business Practice Location Address Postal Code:
43232
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
614-251-7777
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
05/31/2007