UPI (Provider ID): 10138
Change Report (if Any):

Short Name: CHILDRENS HOME

Long Name 1: THE CHILDRENS HOME OF
Long Name 2: CINCINNATI OHIO

Address 1: 5050 MADISON ROAD
Address 2:

City: CINCINNATI
Zip Code: 452271493
County: HAMI

Contact: MARY WATSON
Title:
Phone: 5132722800
FAX: 5132722807

Vendor: 10138

Reports Status: CLAIMS/BH

MACSIS Last Update Date: 04/12/2012

File Produced: 19MAY2012