Provider First Line Business Practice Location Address:
4725 SOUTH COLONIAL OAKS DRIVE
Provider Second Line Business Practice Location Address:
COLONIAL OAKS HEALTH CARE
Provider Business Practice Location Address City Name:
MARION
Provider Business Practice Location Address State Name:
IN
Provider Business Practice Location Address Postal Code:
46952
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
765-674-9791
Provider Business Practice Location Address Fax Number:
765-674-2272
Provider Enumeration Date:
07/23/2010