Provider First Line Business Practice Location Address:
1883 SHUMWAY HILL ROAD
Provider Second Line Business Practice Location Address:
BROAD ACRES HEALTH AND REHABILITATION CENTER
Provider Business Practice Location Address City Name:
WELLSBORO
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
16901
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
570-724-3913
Provider Business Practice Location Address Fax Number:
414-918-2573
Provider Enumeration Date:
11/20/2013