UPI (Provider ID): 10065
Change Report (if Any):

Short Name: BEN-EL CHAM

Long Name 1: BEN EL CHILD AND FAMILY CENTER
Long Name 2:

Address 1: 1150 SCIOTO STREET
Address 2: SUITE 200

City: URBANA
Zip Code: 43078
County: CHAM

Contact: LINDA BALLINGER
Title: CFO
Phone: 9376524555
FAX: 9376524945

Vendor: 10065

Reports Status: NO CLAIMS/

MACSIS Last Update Date: 11/29/2011

File Produced: 19MAY2012