Provider First Line Business Practice Location Address:
ICAS, INC.
Provider Second Line Business Practice Location Address:
1275 JAMES DRIVE SUITE A
Provider Business Practice Location Address City Name:
ENTERPRISE
Provider Business Practice Location Address State Name:
AL
Provider Business Practice Location Address Postal Code:
36330
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
334-308-1940
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
07/05/2006