Provider First Line Business Practice Location Address:
LSSU HEALTH CARE CENTER
Provider Second Line Business Practice Location Address:
650 W EASTERDAY AVENUE
Provider Business Practice Location Address City Name:
SAULT STE MARIE
Provider Business Practice Location Address State Name:
MI
Provider Business Practice Location Address Postal Code:
49783
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
906-635-2110
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
08/11/2005