UPI (Provider ID): 10537
Change Report (if Any):
Short Name: FRIENDSHIP CIRC
Long Name 1: SCHOTTENSTEIN CHABAD HOUSE
Long Name 2: FRIENDSHIP CIRCLE
Address 1: 207 EAST 15TH AVENUE
Address 2:
City: COLUMBUS
Zip Code: 43201
County: FRAN
Contact: LYNNE MCWHERTER
Title: FINC
Phone: 6142943296
FAX: 6142976495
Vendor: 10537
Reports Status: CLAIMS/NO
MACSIS Last Update Date: 12/20/2011
File Produced: 19MAY2012