Provider First Line Business Practice Location Address:
256 SUNSET LAKE RD
Provider Second Line Business Practice Location Address:
SULLIVAN COUNTY ADULT CARE CENTER
Provider Business Practice Location Address City Name:
LIBERTY
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
12754
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
845-292-5910
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
04/08/2010