Provider First Line Business Practice Location Address:
205 N TILLOTSON AVE
Provider Second Line Business Practice Location Address:
ROOM REHAB
Provider Business Practice Location Address City Name:
MUNCIE
Provider Business Practice Location Address State Name:
IN
Provider Business Practice Location Address Postal Code:
47304-3900
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
765-288-1928
Provider Business Practice Location Address Fax Number:
765-741-0335
Provider Enumeration Date:
08/21/2014