Organization
KETTLE RUN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VICKI LESTER (EXECT. DIRECT. OF HOUSING)
(419) 724-1525
Entity
Organization
Contact information
Practice address
1780 WHETSTONE ST, BUCYRUS, OH 44820-3730
(419) 562-6226
Mailing address
2411 SEAMAN ST, TOLEDO, OH 43605-1519
(419) 724-1525
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
11/09/2010
Last updated
11/09/2010
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