Provider First Line Business Practice Location Address:
THE SALVATION ARMY RAY & JOAN KROC CENTER
Provider Second Line Business Practice Location Address:
1315 LIME KILN ROAD
Provider Business Practice Location Address City Name:
GREEN BAY
Provider Business Practice Location Address State Name:
WI
Provider Business Practice Location Address Postal Code:
54311
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
920-544-4975
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
06/24/2019