Provider First Line Business Practice Location Address:
5510 PAULSEN ST
Provider Second Line Business Practice Location Address:
ATTN: ENCURACARE THERAPY MANAGEMENT SERVICES
Provider Business Practice Location Address City Name:
SAVANNAH
Provider Business Practice Location Address State Name:
GA
Provider Business Practice Location Address Postal Code:
31405-4903
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
912-819-7522
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
10/02/2012