Provider First Line Business Practice Location Address:
103 LANDMARK DRIVE
Provider Second Line Business Practice Location Address:
BELLEVUE LA HEALTH CARE
Provider Business Practice Location Address City Name:
BELLEVUE
Provider Business Practice Location Address State Name:
KY
Provider Business Practice Location Address Postal Code:
41073
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
859-392-3850
Provider Business Practice Location Address Fax Number:
859-392-3841
Provider Enumeration Date:
07/30/2008