Provider First Line Business Practice Location Address:
418 B FOLLY RD
Provider Second Line Business Practice Location Address:
PHC REHAB, INC
Provider Business Practice Location Address City Name:
CHARLESTON
Provider Business Practice Location Address State Name:
SC
Provider Business Practice Location Address Postal Code:
29412
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
843-766-3888
Provider Business Practice Location Address Fax Number:
843-766-3478
Provider Enumeration Date:
01/05/2009