Provider First Line Business Practice Location Address:
706 MEADOW ROAD
Provider Second Line Business Practice Location Address:
QUITMAN HOUSING AUTHORITY COMMUNITY CENTER
Provider Business Practice Location Address City Name:
QUITMAN
Provider Business Practice Location Address State Name:
GA
Provider Business Practice Location Address Postal Code:
31643-7065
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
850-851-6175
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
04/29/2013