UPI (Provider ID): 10341
Change Report (if Any):

Short Name: SAFY-DELA

Long Name 1: SPECIALIZED ALTERNATIVES
Long Name 2: FOR FAMILIES AND YOUTH

Address 1: 500 NORTH LIBERTY STREET
Address 2:

City: DELAWARE
Zip Code: 430151233
County: DELA

Contact: BILL HANLIN
Title: VP
Phone: 7403626661
FAX: 7403693132

Vendor: 10332

Reports Status: NO CLAIMS/

MACSIS Last Update Date: 11/29/2011

File Produced: 19MAY2012