Provider First Line Business Practice Location Address:
4227 MANOR DRIVE
Provider Second Line Business Practice Location Address:
PLEASANT VALLEY MANOR
Provider Business Practice Location Address City Name:
STROUDSBURG
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
18360
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
570-992-4172
Provider Business Practice Location Address Fax Number:
570-402-0901
Provider Enumeration Date:
05/01/2007