UPI (Provider ID): 11192
Change Report (if Any):

Short Name: WCESC PREVENTNO

Long Name 1: WOOD COUNTY EDUCATIONAL
Long Name 2: SERVICE CENTER

Address 1: 1867 NORTH RESEARCH DRIVE
Address 2:

City: BOWLING GREEN
Zip Code: 43402
County: WOOD

Contact: LORRIE LEWANDOWSKI
Title: COORD
Phone: 4193549010
FAX: 4193541146

Vendor: 11192

Reports Status: CLAIMS/NO

MACSIS Last Update Date: 12/23/2011

File Produced: 19MAY2012