UPI (Provider ID): 3553
Change Report (if Any):

Short Name: LINQUES

Long Name 1: LINQUES NEIGHBORHOOD CENTER
Long Name 2:

Address 1: 401 NORTH HAWLEY STREET
Address 2:

City: TOLEDO
Zip Code: 43607
County: LUCA

Contact: PASTY BOLDEN
Title: EX DR
Phone: 4192443142
FAX: 4192443077

Vendor: 3553

Reports Status: NO CLAIMS/

MACSIS Last Update Date: 11/29/2011

File Produced: 19MAY2012