UPI (Provider ID): 10157
Change Report (if Any):

Short Name: PRESLY RDG-HAMI

Long Name 1: PRESSLEY RIDGE
Long Name 2:

Address 1: 7162 READING ROAD STE 900
Address 2:

City: CINCINNATI
Zip Code: 45206
County: HAMI

Contact: NANCY SPEED
Title: COOR
Phone: 5135591402
FAX: 5135595475

Vendor: 10158

Reports Status: CLAIMS/NO

MACSIS Last Update Date: 12/08/2011

File Produced: 19MAY2012