UPI (Provider ID): 10631
Change Report (if Any):

Short Name: BIG BR/SIS-BUTL

Long Name 1: BIG BROTHERS AND SISTERS OF
Long Name 2: BUTLER COUNTY

Address 1: 5539 EUREKA DRIVE
Address 2:

City: HAMILTON
Zip Code: 45011
County: BUTL

Contact: CAROLYN WINSLOW
Title: EXDIR
Phone: 5138671227
FAX: 5138671489

Vendor: 10631

Reports Status: CLAIMS/NO

MACSIS Last Update Date: 11/29/2011

File Produced: 19MAY2012