Provider First Line Business Practice Location Address:
202 W NESHANNOCK AVE
Provider Second Line Business Practice Location Address:
HOPE EXTENDED CARE SERVICES INC
Provider Business Practice Location Address City Name:
NEW WILMINGTON
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
16142-1115
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
724-901-0003
Provider Business Practice Location Address Fax Number:
724-946-2156
Provider Enumeration Date:
06/24/2014