Provider First Line Business Practice Location Address:
345 S HALCYON ROAD
Provider Second Line Business Practice Location Address:
(ARROYO GRANDE COMM. REHAB HOSPITAL)
Provider Business Practice Location Address City Name:
ARROYO GRANDE
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
93420-3817
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
805-473-7663
Provider Business Practice Location Address Fax Number:
805-564-3332
Provider Enumeration Date:
10/30/2012