UPI (Provider ID): 1345
Change Report (if Any):

Short Name: LUTHERAN SS

Long Name 1: LUTHERAN SOCIAL SERVICES
Long Name 2: OF NORTHWESTERN OHIO

Address 1: 2149 COLLINGWOOD BOULEVARD
Address 2:

City: TOLEDO
Zip Code: 43620
County: LUCA

Contact: NORMAN MERKEL
Title: EX DR
Phone: 4192439178
FAX: 4192434450

Vendor: 1345

Reports Status: CLAIMS/BH

MACSIS Last Update Date: 11/29/2011

File Produced: 19MAY2012