UPI (Provider ID): 8257
Change Report (if Any):

Short Name: PARTNERSHIP

Long Name 1: LUCAS COUNTY COMMUNITY
Long Name 2: PREVENTION PARTNERSHIP

Address 1: 2428 SYLVANIA AVENUE
Address 2:

City: TOLEDO
Zip Code: 43613
County: LUCA

Contact: KATHY SCHNAPP
Title: EXDIR
Phone: 4198663611
FAX: 4198663613

Vendor: 8257

Reports Status: NO CLAIMS/

MACSIS Last Update Date: 11/29/2011

File Produced: 19MAY2012