Provider First Line Business Practice Location Address:
CARE INN OF LA GRANGE
Provider Second Line Business Practice Location Address:
457 N. MAIN STREET
Provider Business Practice Location Address City Name:
LA GRANGE
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
78945
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
979-968-5865
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
10/24/2018