Provider First Line Business Practice Location Address:
5790 DENLINGER RD
Provider Second Line Business Practice Location Address:
FRIENDSHIP VILLAGE HEALTH CENTER
Provider Business Practice Location Address City Name:
TROTWOOD
Provider Business Practice Location Address State Name:
OH
Provider Business Practice Location Address Postal Code:
45426
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
937-837-5581
Provider Business Practice Location Address Fax Number:
937-837-4987
Provider Enumeration Date:
06/09/2008