Provider First Line Business Practice Location Address:
613 BALTIMORE DRIVE, SUITE 3
Provider Second Line Business Practice Location Address:
HEARTLAND HOSPICE
Provider Business Practice Location Address City Name:
WILKES-BARRE
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
18702-7902
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
866-380-5874
Provider Business Practice Location Address Fax Number:
800-518-4329
Provider Enumeration Date:
07/30/2014