UPI (Provider ID): 10510
Change Report (if Any):

Short Name: TALBERT-BRIDGE

Long Name 1: TALBERT HOUSE
Long Name 2: THE BRIDGE

Address 1: 1515 CARLL STREET
Address 2:

City: CINCINNATI
Zip Code: 45225
County: HAMI

Contact: WILLIAM HOSTLER
Title: CFO
Phone: 5137517747
FAX: 5138725182

Vendor: 1249

Reports Status: NO CLAIMS/

MACSIS Last Update Date: 11/29/2011

File Produced: 19MAY2012