Provider First Line Business Practice Location Address:
1305 E. 7TH STREET
Provider Second Line Business Practice Location Address:
GENESIS HEALTHCARE WHITEFISH CENTER
Provider Business Practice Location Address City Name:
WHITEFISH
Provider Business Practice Location Address State Name:
MT
Provider Business Practice Location Address Postal Code:
59937
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
406-862-3557
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
09/15/2014