UPI (Provider ID): 10676
Change Report (if Any):

Short Name: ST JOSEPH-FAMIL

Long Name 1: ST JOSEPH ORPHANAGE
Long Name 2: FAMILY TIES FOSTER CARE

Address 1: 3425 NORTH BEND ROAD
Address 2:

City: CINCINNATI
Zip Code: 45239
County: HAMI

Contact: ROBERT WEHR
Title:
Phone: 5134817350
FAX: 5134817360

Vendor: 10151

Reports Status: NO CLAIMS/

MACSIS Last Update Date: 11/29/2011

File Produced: 19MAY2012