UPI (Provider ID): 10288
Change Report (if Any):

Short Name: MERCER RESID SV

Long Name 1: MERCER RESIDENTIAL SERVICES
Long Name 2:

Address 1: 221 SOUTH BUCKEYE
Address 2:

City: CELINA
Zip Code: 45822
County: MERC

Contact: GARRY MOSIER
Title: DIR
Phone: 4195864709
FAX: 4195864777

Vendor: 10288

Reports Status: NO CLAIMS/

MACSIS Last Update Date: 11/29/2011

File Produced: 19MAY2012