UPI (Provider ID): 10013
Change Report (if Any):

Short Name: THE CASTLE

Long Name 1: FRIENDS OF THE CASTLE
Long Name 2:

Address 1: 133 NORTH MAIN STREET
Address 2:

City: CENTERVILLE
Zip Code: 454594620
County: MONT

Contact: MARY ANN SACHS
Title: EXDR
Phone: 9374333931
FAX: .

Vendor: 10013

Reports Status: CLAIMS/NO

MACSIS Last Update Date: 03/29/2012

File Produced: 19MAY2012