Provider First Line Business Practice Location Address: 
37 FRIEND ST
    Provider Second Line Business Practice Location Address: 
ELEMENT CARE INC
    Provider Business Practice Location Address City Name: 
LYNN
    Provider Business Practice Location Address State Name: 
MA
    Provider Business Practice Location Address Postal Code: 
01902
    Provider Business Practice Location Address Country Code: 
US
    Provider Business Practice Location Address Telephone Number: 
781-581-7565
    Provider Business Practice Location Address Fax Number: 
617-474-0757
    Provider Enumeration Date: 
11/14/2006