Provider First Line Business Practice Location Address:
261 NORTH STREET
Provider Second Line Business Practice Location Address:
BRISTOL NURSING HOME
Provider Business Practice Location Address City Name:
BRISTOL
Provider Business Practice Location Address State Name:
TN
Provider Business Practice Location Address Postal Code:
37620
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
423-764-6151
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
09/10/2007