Provider First Line Business Practice Location Address:
2 TOWER PLAZ, SUITE B
Provider Second Line Business Practice Location Address:
COMMUNITY REHAB CENTER
Provider Business Practice Location Address City Name:
LONG BEACH
Provider Business Practice Location Address State Name:
MS
Provider Business Practice Location Address Postal Code:
39560
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
228-864-5090
Provider Business Practice Location Address Fax Number:
228-864-5054
Provider Enumeration Date:
11/24/2014