Provider First Line Business Practice Location Address:
50 RECOVERY DR
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
ASHLAND
Provider Business Practice Location Address State Name:
KY
Provider Business Practice Location Address Postal Code:
41101-8800
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
606-744-1300
Provider Business Practice Location Address Fax Number:
606-744-1875
Provider Enumeration Date:
08/03/2023