Provider First Line Business Practice Location Address:
7634 CAMPBELL CREEK RD
Provider Second Line Business Practice Location Address:
FAMILY LIFE MINISTRIES
Provider Business Practice Location Address City Name:
BATH
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
14810-7612
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
607-776-4151
Provider Business Practice Location Address Fax Number:
607-776-6929
Provider Enumeration Date:
10/15/2008