Provider First Line Business Practice Location Address:
PENN HIGHLANDS LIFE'S JOURNEY 190 WEST PARK AVE.
Provider Second Line Business Practice Location Address:
SUITE 9
Provider Business Practice Location Address City Name:
DUBOIS
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
15801-2277
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
814-371-1900
Provider Business Practice Location Address Fax Number:
814-503-8568
Provider Enumeration Date:
03/22/2016