UPI (Provider ID): 10124
Change Report (if Any):

Short Name: CANCER FAMILY

Long Name 1: CANCER FAMILY CARE INC
Long Name 2:

Address 1: 2421 AUBURN AVENUE
Address 2:

City: CINCINNATI
Zip Code: 45219
County: HAMI

Contact: SHELLY ZAJACZ
Title: CFO
Phone: 5137313346
FAX: 5134583582

Vendor: 10124

Reports Status: NO CLAIMS/

MACSIS Last Update Date: 11/29/2011

File Produced: 19MAY2012