Provider First Line Business Practice Location Address:
252 MAIN ST.
Provider Second Line Business Practice Location Address:
WELLNESS HOME CARE
Provider Business Practice Location Address City Name:
GOSHEN
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10924
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
845-294-8364
Provider Business Practice Location Address Fax Number:
845-294-8966
Provider Enumeration Date:
05/11/2012