Provider Demographics
NPI:1063461929
Name:LUTHERAN METROPOLITAN MINISTRY
Entity Type:Organization
Organization Name:LUTHERAN METROPOLITAN MINISTRY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:CHARLES
Authorized Official - Middle Name:R
Authorized Official - Last Name:SEE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:216-696-2717
Mailing Address - Street 1:1468 W 25TH ST
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44113-3102
Mailing Address - Country:US
Mailing Address - Phone:216-696-2717
Mailing Address - Fax:216-696-3317
Practice Address - Street 1:1468 W 25TH ST
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44113-3102
Practice Address - Country:US
Practice Address - Phone:216-696-2717
Practice Address - Fax:216-696-3317
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-09
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251V00000XAgenciesVoluntary or Charitable