Provider First Line Business Practice Location Address:
3001 MAY ST
Provider Second Line Business Practice Location Address:
MARK TWAIN CARING CENTER
Provider Business Practice Location Address City Name:
POPLAR BLUFF
Provider Business Practice Location Address State Name:
MO
Provider Business Practice Location Address Postal Code:
63901-1942
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
573-778-0854
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
02/28/2008