MACSIS Provider (PROVF) Summary Sheet

UPI (Provider ID): 10424
Change Report (if Any):

Short Name: COMM ACTION ORG

Long Name 1: COMMUNITY ACTION ORGANIZATION
Long Name 2:

Address 1: 220 WEST SEVENTH STREET
Address 2: ROOM 106

City: MARYSVILLE
Zip Code: 430402539
County: UNIO

Contact: JAMES CESA
Title: EXDIR
Phone: 9376421925
FAX: 9376421925

Vendor: 10425

Reports Status: NO CLAIMS/

MACSIS Last Update Date: 11/29/2011

File Produced: 19MAY2012