Provider First Line Business Practice Location Address: 
400 W 7TH ST
    Provider Second Line Business Practice Location Address: 
FMH SPECIAL CARE NURSERY
    Provider Business Practice Location Address City Name: 
FREDERICK
    Provider Business Practice Location Address State Name: 
MD
    Provider Business Practice Location Address Postal Code: 
21701-4506
    Provider Business Practice Location Address Country Code: 
US
    Provider Business Practice Location Address Telephone Number: 
240-566-3330
    Provider Business Practice Location Address Fax Number: 
    Provider Enumeration Date: 
08/08/2006