UPI (Provider ID): 10180
Change Report (if Any):

Short Name: TRI-CO HELP CNT

Long Name 1: TRI COUNTY HELP CENTER INC
Long Name 2:

Address 1: 104 ONE HALF N MARIETTA STREET
Address 2:

City: ST CLAIRSVILLE
Zip Code: 43950
County: BELM

Contact: JOELL THOMPSON
Title: FIS
Phone: 7406955441
FAX: 7406956747

Vendor: 10180

Reports Status: CLAIMS/BH

MACSIS Last Update Date: 12/29/2011

File Produced: 19MAY2012