Provider First Line Business Practice Location Address:
PRIMROSE RETIREMENT COMMUNITY JEFFERSON CITY
Provider Second Line Business Practice Location Address:
1214 FREEDOM BOULEVARD
Provider Business Practice Location Address City Name:
JEFFERSON CITY
Provider Business Practice Location Address State Name:
MO
Provider Business Practice Location Address Postal Code:
65109
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
314-822-6285
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
08/25/2017