UPI (Provider ID): 10296
Change Report (if Any):

Short Name: SHELBY HOUSE

Long Name 1: SHELBY COUNTY RECOVERY INC
Long Name 2:

Address 1: 202 NORTH WALNUT
Address 2:

City: SIDNEY
Zip Code: 45365
County: SHEL

Contact: ANGELA NULL
Title: DIR
Phone: 9374977355
FAX: 9374977593

Vendor: 10296

Reports Status: CLAIMS/NO

MACSIS Last Update Date: 04/06/2012

File Produced: 19MAY2012