Provider First Line Business Practice Location Address:
860 OLD VESTAL LANE
Provider Second Line Business Practice Location Address:
VESTAL NURSING CENTER
Provider Business Practice Location Address City Name:
VESTAL
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
13850
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
607-754-4105
Provider Business Practice Location Address Fax Number:
607-748-5689
Provider Enumeration Date:
08/09/2006