UPI (Provider ID): 10522
Change Report (if Any):

Short Name: BAIR FOUNDATION

Long Name 1: THE BAIR FOUNDATION
Long Name 2:

Address 1: 275 MARTINEL DRIVE
Address 2:

City: KENT
Zip Code: 44240
County: PORT

Contact: SUSAN LAIRD
Title: DIR
Phone: 3306736339
FAX: 3306736443

Vendor: 10523

Reports Status: CLAIMS/BH

MACSIS Last Update Date: 12/22/2011

File Produced: 19MAY2012