UPI (Provider ID): 1039
Change Report (if Any):

Short Name: MCKINLEY HALL

Long Name 1: MCKINLEY HALL
Long Name 2:

Address 1: 1101 EAST HIGH STREET
Address 2:

City: SPRINGFIELD
Zip Code: 45505
County: CLAR

Contact: JOHN BALDASARE
Title:
Phone: 9373285300
FAX: 9373224900

Vendor: 1039

Reports Status: CLAIMS/BH

MACSIS Last Update Date: 11/29/2011

File Produced: 19MAY2012