Provider First Line Business Practice Location Address:
25 LLANFAIR CIRCLE
Provider Second Line Business Practice Location Address:
SENIOR BEHAVIORAL HEALTHCARE GROUP INC
Provider Business Practice Location Address City Name:
ARDMORE
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
19003-3342
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
610-649-6769
Provider Business Practice Location Address Fax Number:
610-649-4190
Provider Enumeration Date:
08/21/2006