Organization
LUCAS COUNTY BOARD MRDD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN TRUNK (SUPERINTENDENT)
(419) 380-4000
Entity
Organization
Contact information
Practice address
1154 LARC LN, TOLEDO, OH 43614-2768
(419) 380-4000
(419) 380-5136
Mailing address
1154 LARC LN, TOLEDO, OH 43614-2768
(419) 380-4000
(419) 380-5136
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
4800013
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4800013
COUNTY NUMBER
OH
Enumeration date
04/11/2007
Last updated
08/22/2020
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