Provider First Line Business Practice Location Address:
152 SADIE LEE HOMES
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
CHILDERSBURG
Provider Business Practice Location Address State Name:
AL
Provider Business Practice Location Address Postal Code:
35044-1536
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
205-997-4430
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
06/16/2021