Provider First Line Business Practice Location Address:
100 N. 16TH STREET
Provider Second Line Business Practice Location Address:
THE WATERS OF NEW CASTLE
Provider Business Practice Location Address City Name:
NEW CASTLE
Provider Business Practice Location Address State Name:
IN
Provider Business Practice Location Address Postal Code:
46012
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
765-521-1449
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
05/06/2010