Provider First Line Business Practice Location Address:
1400 NORTH DRAKE ROAD
Provider Second Line Business Practice Location Address:
FRIENDSHIP VILLAGE OF KALAMAZOO
Provider Business Practice Location Address City Name:
KALAMAZOO
Provider Business Practice Location Address State Name:
MI
Provider Business Practice Location Address Postal Code:
49006
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
269-381-0560
Provider Business Practice Location Address Fax Number:
269-381-4537
Provider Enumeration Date:
08/21/2008