UPI (Provider ID): 10143
Change Report (if Any):

Short Name: BIG BR/SIS-HENR

Long Name 1: BIG BROTHERS BIG SISTERS
Long Name 2: OF HENRY COUNTY

Address 1: 219 EAST WASHINGTON
Address 2: SUITE 230

City: NAPOLEON
Zip Code: 43545
County: HENR

Contact: MICHELLE CARLTON
Title:
Phone: 4195992353
FAX: 4195998627

Vendor: 10143

Reports Status: NO CLAIMS/

MACSIS Last Update Date: 11/29/2011

File Produced: 19MAY2012