Provider First Line Business Practice Location Address:
1200 ATLANTIC SHORES DRIVE
Provider Second Line Business Practice Location Address:
SEASIDE HEALTHCARE CENTER AT ATLANTIC SHORES
Provider Business Practice Location Address City Name:
VIRGINIA BEACH
Provider Business Practice Location Address State Name:
VA
Provider Business Practice Location Address Postal Code:
23454
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
757-716-2150
Provider Business Practice Location Address Fax Number:
757-716-2027
Provider Enumeration Date:
07/10/2008