UPI (Provider ID): 2560
Change Report (if Any):

Short Name: ST PAULS

Long Name 1: ST PAUL COMMUNITY CENTER
Long Name 2:

Address 1: 230 NORTH 13TH STREET
Address 2:

City: TOLEDO
Zip Code: 43624
County: LUCA

Contact: RUTH ARDEN
Title: EX DR
Phone: 4192555520
FAX: 4192594609

Vendor: 2560

Reports Status: NO CLAIMS/

MACSIS Last Update Date: 11/29/2011

File Produced: 19MAY2012