UPI (Provider ID): 10650
Change Report (if Any):

Short Name: OESTERLEN

Long Name 1: OESTERLEN SERVICES FOR YOUTH
Long Name 2: INC

Address 1: 1918 MECHANICSBURG ROAD
Address 2:

City: SPRINGFIELD
Zip Code: 45503
County: CLAR

Contact: DON WARNER
Title:
Phone: 9373996101
FAX: 9373996609

Vendor: 10650

Reports Status: CLAIMS/BH

MACSIS Last Update Date: 01/11/2012

File Produced: 19MAY2012