Provider First Line Business Practice Location Address:
ONE SOUTH HOME AVENUE
Provider Second Line Business Practice Location Address:
DIAKON FAMILY LIFE SERVICES
Provider Business Practice Location Address City Name:
TOPTON
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
19562
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
666-106-8213
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
03/13/2013