MEDICARE: LUTHER HILL OREGON

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251B00000X	Case Management Agency

General Provider Information

NPI Number	:	1063713964
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LUTHER HILL OREGON

Provider Business Mailing Address
First Line	:	2411 SEAMAN ST
Second Line	:
City	:	TOLEDO
State	:	OH
Zip	:	43605-1519
Country	:	US
Telephone Number	:	419-724-1525
Fax Number	:

Provider Business Practice Location Address
First Line	:	2472 LUTHER HILLS CIR
Second Line	:
City	:	OREGON
State	:	OH
Zip	:	43616-2066
Country	:	US
Telephone Number	:	419-697-9397
Fax Number	:

Authorized Official
Title or Position	:	EXCT. DIRCT. OF HOUSING & COMMUNITY
Name	:	VICKI LESTER
Credential	:
Telephone Number	:	419-724-1525

Provider Enumeration Date	:	11/09/2010
Last Update Date	:	11/09/2010

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Directions to “LUTHER HILL OREGON ” Practice Location

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