UPI (Provider ID): 10295
Change Report (if Any):

Short Name: CHILD SERV-WOOD

Long Name 1: WOOD COUNTY CHILDRENS SERVICES
Long Name 2: CHILDRENS RESOURCE CENTER

Address 1: 1045 KLOTZ ROAD
Address 2: PO BOX 738

City: BOWLING GREEN
Zip Code: 434024820
County: WOOD

Contact: MELANIE KNEESSI
Title:
Phone: 4193527588
FAX: 4193544977

Vendor: 10295

Reports Status: CLAIMS/BH

MACSIS Last Update Date: 03/05/2012

File Produced: 19MAY2012