Provider First Line Business Practice Location Address:
505 OLD ALICE RD
Provider Second Line Business Practice Location Address:
FE ADULT CARE INC
Provider Business Practice Location Address City Name:
BROWNSVILLE
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
78520
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
956-574-9175
Provider Business Practice Location Address Fax Number:
956-831-3963
Provider Enumeration Date:
01/17/2008