Provider First Line Business Practice Location Address:
201 W MADISON AVE
Provider Second Line Business Practice Location Address:
ADULT DAY HEALTH CARE
Provider Business Practice Location Address City Name:
JOHNSTOWN
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
12095-2806
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
518-736-1373
Provider Business Practice Location Address Fax Number:
518-736-1570
Provider Enumeration Date:
01/22/2007