Provider First Line Business Practice Location Address:
1220 YAUGER ROAD
Provider Second Line Business Practice Location Address:
AMERICAN HEALTH NETWORK OF OHIO, LLC
Provider Business Practice Location Address City Name:
MOUNT VERNON
Provider Business Practice Location Address State Name:
OH
Provider Business Practice Location Address Postal Code:
43050-9233
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
740-392-1171
Provider Business Practice Location Address Fax Number:
740-392-2987
Provider Enumeration Date:
10/01/2014