Provider First Line Business Practice Location Address:
251 EAST ANTIETAM STREET
Provider Second Line Business Practice Location Address:
SPECIAL CARE NURSERY WASHINGTON COUNTY HOSPITAL
Provider Business Practice Location Address City Name:
HAGERSTOWN
Provider Business Practice Location Address State Name:
MD
Provider Business Practice Location Address Postal Code:
21740-4070
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
301-790-8421
Provider Business Practice Location Address Fax Number:
301-790-9121
Provider Enumeration Date:
02/02/2006