Provider First Line Business Practice Location Address:
LUTHERAN HOSPITAL- SOCIAL SERVICES
Provider Second Line Business Practice Location Address:
7950 W. JEFFERSON BLVD.
Provider Business Practice Location Address City Name:
FORT WAYNE
Provider Business Practice Location Address State Name:
IN
Provider Business Practice Location Address Postal Code:
46804
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
260-435-7093
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
04/17/2007