UPI (Provider ID): 11208
Change Report (if Any):

Short Name: COMMTY HOUS DMS

Long Name 1: COMMUNITY HOUSING OF DARKE
Long Name 2: MIAMI AND SHELBY COUNTIES INC

Address 1: 1100 WAYNE STREET
Address 2: SUITE 4001

City: TROY
Zip Code: 45373
County: MIAM

Contact: TERRY SWARTZ
Title: EXDIR
Phone: 9373320021
FAX: 9373327966

Vendor: 11208

Reports Status: CLAIMS/NO

MACSIS Last Update Date: 02/15/2012

File Produced: 19MAY2012