Organization
LUTHERAN SOCIAL SERVICES OF NORTHWESTERN OHIO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LUCILLE WAYTON (VP-LSSNWO)
(419) 243-9178
Entity
Organization
Contact information
Practice address
2149 COLLINGWOOD BLVD, TOLEDO, OH 43620-1652
(419) 243-9178
(419) 243-4450
Mailing address
2149 COLLINGWOOD BLVD, TOLEDO, OH 43620-1652
(419) 243-9178
(419) 243-4450
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01345
MEDICAID UPI
OH
05
—
1881773687
—
OH
01
—
2472195
MEDICIAD PROVIDER ID
OH
01
—
9276531
MEDICARE PTAN
OH
Enumeration date
06/25/2012
Last updated
11/04/2021
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