Provider First Line Business Practice Location Address:
4905 WILLIAM PENN HIGHWAY
Provider Second Line Business Practice Location Address:
ICARE MEDICAL LLC
Provider Business Practice Location Address City Name:
MONROEVILLE
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
15146
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
814-534-9106
Provider Business Practice Location Address Fax Number:
814-534-5599
Provider Enumeration Date:
06/21/2012