Provider First Line Business Practice Location Address:
SOUTH SHORE ASSOCIATION FOR INDEPENDENT LIVING, INC.
Provider Second Line Business Practice Location Address:
1976 GRAND AVENUE
Provider Business Practice Location Address City Name:
BALDWIN
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
11510
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
516-855-1800
Provider Business Practice Location Address Fax Number:
516-855-1811
Provider Enumeration Date:
12/26/2007