UPI (Provider ID): 10144
Change Report (if Any):

Short Name: SARAHS HOUSE

Long Name 1: SARAHS HOUSE OF WILLIAMS
Long Name 2: COUNTY

Address 1: 533 WEST HIGH STREET
Address 2:

City: BRYAN
Zip Code: 43506
County: WILL

Contact: MICHELE TINKER
Title: DIR
Phone: 4196367272
FAX: 4196368479

Vendor: 10144

Reports Status: NO CLAIMS/

MACSIS Last Update Date: 11/29/2011

File Produced: 19MAY2012