Provider First Line Business Practice Location Address:
118 PARSONAGE RD
Provider Second Line Business Practice Location Address:
ROOSEVELT CARE CENTER
Provider Business Practice Location Address City Name:
EDISON
Provider Business Practice Location Address State Name:
NJ
Provider Business Practice Location Address Postal Code:
08837
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
732-321-6800
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
05/03/2007