Provider First Line Business Practice Location Address:
4070 HIGHWAY 17 BYPASS
Provider Second Line Business Practice Location Address:
FOOD AND NUTRITION SERVICES
Provider Business Practice Location Address City Name:
MURRELLS INLET
Provider Business Practice Location Address State Name:
SC
Provider Business Practice Location Address Postal Code:
29576-5033
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
843-520-8367
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
12/09/2011