MACSIS Provider (PROVF) Summary Sheet

UPI (Provider ID): 10286
Change Report (if Any):

Short Name: DLM RESOURCES

Long Name 1: DLM MANAGED RESOURCES
Long Name 2: UNLIMITED

Address 1: PO BOX 21928
Address 2:

City: COLUMBUS
Zip Code: 432110928
County: FRAN

Contact: DIANE MAUTE
Title: PRES
Phone: 8002242992
FAX: .

Vendor: 10286

Reports Status: NO CLAIMS/

MACSIS Last Update Date: 11/29/2011

File Produced: 19MAY2012