MACSIS Provider (PROVF) Summary Sheet

UPI (Provider ID): 10503
Change Report (if Any):

Short Name: COMM SOLUTIONS

Long Name 1: COMMUNITY SOLUTIONS
Long Name 2: ASSOCIATION

Address 1: 320 HIGH STREET
Address 2:

City: WARREN
Zip Code: 44481
County: TRUM

Contact: KENNETH LLOYD
Title: DIR
Phone: 3303993677
FAX: 3303943815

Vendor: 10506

Reports Status: CLAIMS/BH

MACSIS Last Update Date: 04/12/2012

File Produced: 19MAY2012