UPI (Provider ID): 10292
Change Report (if Any):

Short Name: BUCKEYE FAMILY

Long Name 1: BUCKEYE FAMILY HOMES
Long Name 2:

Address 1: 340 OAK STREET
Address 2:

City: MARION
Zip Code: 43302
County: MARI

Contact: MARY BERGER
Title: EX DR
Phone: 7403755581
FAX: .

Vendor: 10292

Reports Status: NO CLAIMS/

MACSIS Last Update Date: 11/29/2011

File Produced: 19MAY2012