Provider First Line Business Practice Location Address:
9302 MEDICAL PLAZA DRIVE, SUITE C
Provider Second Line Business Practice Location Address:
LTC HEALTH SOLUTIONS
Provider Business Practice Location Address City Name:
N. CHARLESTON
Provider Business Practice Location Address State Name:
SC
Provider Business Practice Location Address Postal Code:
29406
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
864-751-6424
Provider Business Practice Location Address Fax Number:
864-751-6430
Provider Enumeration Date:
07/03/2015