UPI (Provider ID): 10040
Change Report (if Any):

Short Name: OUTREACH COMM

Long Name 1: OUTREACH COMMUNITY LIVING
Long Name 2: SERVICES INC

Address 1: 337 WEST NORTH STREET
Address 2:

City: WOOSTER
Zip Code: 44691
County: WAYN

Contact: BRUCE GREENWOOD
Title: ACCT
Phone: 3302630862
FAX: 3302628423

Vendor: 10040

Reports Status: NO CLAIMS/

MACSIS Last Update Date: 11/29/2011

File Produced: 19MAY2012