Provider First Line Business Practice Location Address:
1509 E 4TH ST
Provider Second Line Business Practice Location Address:
HERITAGE BOARD AND CARE INC
Provider Business Practice Location Address City Name:
LONGBEACH
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
90802
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
562-437-2070
Provider Business Practice Location Address Fax Number:
562-437-2070
Provider Enumeration Date:
04/30/2008