Provider First Line Business Practice Location Address:
712 SOUTH AVE
Provider Second Line Business Practice Location Address:
ALLEGHENY EAST MH/MR CENTER, INC
Provider Business Practice Location Address City Name:
PITTSBURGH
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
15221-2940
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
412-473-8059
Provider Business Practice Location Address Fax Number:
412-731-5025
Provider Enumeration Date:
06/16/2006