Provider First Line Business Practice Location Address:
2865 WHEELING RD NE
Provider Second Line Business Practice Location Address:
HOME CARE PHYSICIAN ONLY
Provider Business Practice Location Address City Name:
LANCASTER
Provider Business Practice Location Address State Name:
OH
Provider Business Practice Location Address Postal Code:
43130-8508
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
740-277-7570
Provider Business Practice Location Address Fax Number:
740-277-7709
Provider Enumeration Date:
01/28/2006