Provider First Line Business Practice Location Address:
GENESIS DUNBAR CENTER
Provider Second Line Business Practice Location Address:
501 CALDWELL LANE
Provider Business Practice Location Address City Name:
DUNBAR
Provider Business Practice Location Address State Name:
WV
Provider Business Practice Location Address Postal Code:
25064-2026
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
304-744-4761
Provider Business Practice Location Address Fax Number:
304-744-6544
Provider Enumeration Date:
06/06/2018