UPI (Provider ID): 10021
Change Report (if Any):

Short Name: COMM SERV-STARK

Long Name 1: COMMUNITY SERVICES OF STARK
Long Name 2: COUNTY INC

Address 1: 625 CLEVELAND AVENUE NW
Address 2:

City: CANTON
Zip Code: 447021805
County: STAR

Contact: DESIREE ST CLAIR
Title: CFO
Phone: 3304550374
FAX: 3304552101

Vendor: 10021

Reports Status: CLAIMS/BH

MACSIS Last Update Date: 11/29/2011

File Produced: 19MAY2012