MACSIS Provider (PROVF) Summary Sheet

UPI (Provider ID): 10156
Change Report (if Any):

Short Name: TENDER MERCIES

Long Name 1: TENDER MERCIES INC
Long Name 2:

Address 1: 27 WEST 12TH STREET
Address 2:

City: CINCINNATI
Zip Code: 45202
County: HAMI

Contact: RUSSELL WINTERS
Title: CEO
Phone: 5137218666
FAX: 5136397037

Vendor: 10156

Reports Status: CLAIMS/NO

MACSIS Last Update Date: 04/02/2012

File Produced: 19MAY2012