Provider First Line Business Practice Location Address:
510 BROADWAY ST. , MANOR CARE REHAB AND NURSING
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
NORMAL
Provider Business Practice Location Address State Name:
IL
Provider Business Practice Location Address Postal Code:
61716-3816
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
309-452-4406
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
06/08/2007