UPI (Provider ID): 1357
Change Report (if Any):

Short Name: CONNECTING PT

Long Name 1: CONNECTING POINT
Long Name 2:

Address 1: 1212 CHERRY STREET
Address 2:

City: TOLEDO
Zip Code: 43608
County: LUCA

Contact: JEFF DECKEBACH
Title: EX DR
Phone: 4192436326
FAX: 4193216802

Vendor: 1357

Reports Status: NO CLAIMS/

MACSIS Last Update Date: 11/29/2011

File Produced: 19MAY2012