Provider First Line Business Practice Location Address:
SPRING CREEK CORRECTIONAL CENTER. BETTY CATO DRIVE
Provider Second Line Business Practice Location Address:
MILE 5 NASH ROAD
Provider Business Practice Location Address City Name:
SEWARD
Provider Business Practice Location Address State Name:
AK
Provider Business Practice Location Address Postal Code:
99664
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
190-722-4837
Provider Business Practice Location Address Fax Number:
190-722-4818
Provider Enumeration Date:
03/08/2007