UPI (Provider ID): 10401
Change Report (if Any):

Short Name: BOYS VILLG-COLS

Long Name 1: BOYS VILLAGE
Long Name 2: COLUMBUS OFFICE

Address 1: 4080 EAST MAIN STREET
Address 2:

City: WHITEHALL
Zip Code: 43213
County: FRAN

Contact: RANDY STRAKA
Title: CFO
Phone: 6147519366
FAX: 6142355847

Vendor: 2526

Reports Status: NO CLAIMS/

MACSIS Last Update Date: 11/29/2011

File Produced: 19MAY2012