Provider First Line Business Practice Location Address:
630 E RIVER ST
Provider Second Line Business Practice Location Address:
EMERGENCY DEPARTMENT
Provider Business Practice Location Address City Name:
ELYRIA
Provider Business Practice Location Address State Name:
OH
Provider Business Practice Location Address Postal Code:
44035-5902
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
440-329-7450
Provider Business Practice Location Address Fax Number:
440-329-7646
Provider Enumeration Date:
05/19/2006