UPI (Provider ID): 10184
Change Report (if Any):

Short Name: NEW DIREC-MTVER

Long Name 1: NEW DIRECTIONS
Long Name 2:

Address 1: PO BOX 453
Address 2:

City: MT VERNON
Zip Code: 43050
County: KNOX

Contact: BRENDA SCHLAIRET
Title: COS
Phone: 7403974357
FAX: 7403971106

Vendor: 10184

Reports Status: NO CLAIMS/

MACSIS Last Update Date: 11/29/2011

File Produced: 19MAY2012