Provider First Line Business Practice Location Address:
301 MORRISON DR
Provider Second Line Business Practice Location Address:
WAITE HIGH SKILL CENTER
Provider Business Practice Location Address City Name:
TOLEDO
Provider Business Practice Location Address State Name:
OH
Provider Business Practice Location Address Postal Code:
43605-2124
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
419-671-8900
Provider Business Practice Location Address Fax Number:
419-671-8895
Provider Enumeration Date:
02/12/2014