UPI (Provider ID): 3345
Change Report (if Any):

Short Name: ZEPF COMM CNTR

Long Name 1: ZEPF COMMUNITY MENTAL HEALTH
Long Name 2: CENTER

Address 1: 6605 WEST CENTRAL
Address 2:

City: TOLEDO
Zip Code: 43617
County: LUCA

Contact: DEEANN FARRELL
Title: BILNG
Phone: 4198417701
FAX: 4198436431

Vendor: 3345

Reports Status: CLAIMS/NO

MACSIS Last Update Date: 12/12/2011

File Produced: 19MAY2012