Provider First Line Business Practice Location Address:
106 W ADAMS ST
Provider Second Line Business Practice Location Address:
CORN HERITAGE NURSING HOME
Provider Business Practice Location Address City Name:
CORN
Provider Business Practice Location Address State Name:
OK
Provider Business Practice Location Address Postal Code:
73024
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
580-330-0609
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
07/13/2007