Provider First Line Business Practice Location Address:
20 OAK HILL RD
Provider Second Line Business Practice Location Address:
OAKHILL CENTER
Provider Business Practice Location Address City Name:
SOMERSET
Provider Business Practice Location Address State Name:
KY
Provider Business Practice Location Address Postal Code:
42503-1002
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
606-678-8566
Provider Business Practice Location Address Fax Number:
606-677-9863
Provider Enumeration Date:
02/20/2007