Provider First Line Business Practice Location Address:
319 E HICKORY ST
Provider Second Line Business Practice Location Address:
HORIZON HOMES, INC. IRTS
Provider Business Practice Location Address City Name:
MANKATO
Provider Business Practice Location Address State Name:
MN
Provider Business Practice Location Address Postal Code:
56001-3746
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
507-344-3367
Provider Business Practice Location Address Fax Number:
507-344-3372
Provider Enumeration Date:
06/27/2007