MACSIS Provider (PROVF) Summary Sheet

UPI (Provider ID): 10429
Change Report (if Any):

Short Name: EDUCATNL COUNCI

Long Name 1: EDUCATIONAL COUNCIL FOUNDATION
Long Name 2:

Address 1: 1929 KENNY ROAD SUITE 200
Address 2:

City: COLUMBUS
Zip Code: 43210
County: FRAN

Contact: KATHY WINDAU
Title:
Phone: 6142927744
FAX: 6142927775

Vendor: 10429

Reports Status: CLAIMS/NO

MACSIS Last Update Date: 11/29/2011

File Produced: 19MAY2012