UPI (Provider ID): 10197
Change Report (if Any):

Short Name: GREENE CO ED CN

Long Name 1: GREENE COUNTY EDUCATIONAL
Long Name 2: SERVICE CENTER

Address 1: 360 EAST ENON ROAD
Address 2:

City: YELLOW SPRINGS
Zip Code: 45387
County: GREE

Contact: GRETA HOCHSTETLER
Title: COOR
Phone: 9377671303
FAX: 9377671025

Vendor: 10197

Reports Status: CLAIMS/BH

MACSIS Last Update Date: 12/08/2011

File Produced: 19MAY2012