UPI (Provider ID): 10072
Change Report (if Any):

Short Name: CORNERSTNE-TUSC

Long Name 1: CORNERSTON SUPPORT
Long Name 2: SERVICES INC

Address 1: 344 WEST HIGH AVENUE
Address 2:

City: NEW PHILADELPHIA
Zip Code: 44663
County: TUSC

Contact: JENNY MAYO
Title: MIS
Phone: 3303397850
FAX: 3303397844

Vendor: 10072

Reports Status: CLAIMS/NO

MACSIS Last Update Date: 11/29/2011

File Produced: 19MAY2012