Provider First Line Business Practice Location Address:
LEGACY HEALTHCARE / HERITAGE OAKS OF ENGLEWOOD
Provider Second Line Business Practice Location Address:
7374 SAN CASA DR
Provider Business Practice Location Address City Name:
ENGLEWOOD
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
34224-8842
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
941-698-2620
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
05/03/2022