UPI (Provider ID): 11204
Change Report (if Any):

Short Name: DELA-UNIO ED CN

Long Name 1: DELAWARE UNION EDUCATIONAL
Long Name 2: SERVICE CENTER

Address 1: 4565 COLUMBUS PIKE
Address 2:

City: DELAWARE
Zip Code: 43015
County: DELA

Contact: DR MARIE WARD
Title: DIR
Phone: 7405487880
FAX: 7405484465

Vendor: 11204

Reports Status: NO CLAIMS/

MACSIS Last Update Date: 11/29/2011

File Produced: 19MAY2012