Provider First Line Business Practice Location Address:
2990 CARLISLE PIKE
Provider Second Line Business Practice Location Address:
CROSS KEYS VILLAGE, THE BRETHREN HOME COMMUNITY
Provider Business Practice Location Address City Name:
NEW OXFORD
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
17350-0128
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
717-624-5229
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
10/24/2007