Provider First Line Business Practice Location Address:
109 JENKINS AVE
Provider Second Line Business Practice Location Address:
H.O.M.E.S. TEAM
Provider Business Practice Location Address City Name:
LANSDALE
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
19446-2509
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
215-362-2841
Provider Business Practice Location Address Fax Number:
215-362-8240
Provider Enumeration Date:
04/24/2007