Provider First Line Business Practice Location Address:
HICKORY CREEK OF ATHENS
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
THE PLAINS
Provider Business Practice Location Address State Name:
OH
Provider Business Practice Location Address Postal Code:
45780
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
740-797-4561
Provider Business Practice Location Address Fax Number:
740-797-3614
Provider Enumeration Date:
10/03/2008