Provider First Line Business Practice Location Address:
1000 SOUTH 5TH STREET
Provider Second Line Business Practice Location Address:
FAMILY & CHILDREN'S PLACE
Provider Business Practice Location Address City Name:
LOUISVILLE
Provider Business Practice Location Address State Name:
KY
Provider Business Practice Location Address Postal Code:
40203
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
502-893-3900
Provider Business Practice Location Address Fax Number:
502-882-9237
Provider Enumeration Date:
09/06/2013