Provider First Line Business Practice Location Address:
ST. JOSEPH'S CHILDREN'S HOME
Provider Second Line Business Practice Location Address:
1419 MAIN ST
Provider Business Practice Location Address City Name:
TORRINGTON
Provider Business Practice Location Address State Name:
WY
Provider Business Practice Location Address Postal Code:
82240
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
307-532-4197
Provider Business Practice Location Address Fax Number:
307-532-4197
Provider Enumeration Date:
04/01/2009