Provider First Line Business Practice Location Address:
286 DEGO HILL ROAD
Provider Second Line Business Practice Location Address:
UNITED METHODIST HOMES HILLTOP CAMPUS
Provider Business Practice Location Address City Name:
JOHNSON CITY
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
13790
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
607-798-7818
Provider Business Practice Location Address Fax Number:
607-798-9382
Provider Enumeration Date:
06/08/2006