Provider First Line Business Practice Location Address:
6884 MAPLE AVE.
Provider Second Line Business Practice Location Address:
BLOSSOM VIEW OUTPATIENT REHABILITATION CENTER
Provider Business Practice Location Address City Name:
SODUS
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
14551
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
315-483-2000
Provider Business Practice Location Address Fax Number:
315-483-9432
Provider Enumeration Date:
09/26/2008