MACSIS Provider (PROVF) Summary Sheet

UPI (Provider ID): 12459
Change Report (if Any):

Short Name: STEP BY STEP

Long Name 1: STEP BY STEP ACADEMY INC
Long Name 2:

Address 1: OSU HARDING HOSPITAL CAMPUS
Address 2: 445 E DUBLIN GRANVILLE RD BG G

City: WORTHINGTON
Zip Code: 43085
County: FRAN

Contact: MARLA ROOT
Title: BSMGR
Phone: 6144367837
FAX: .

Vendor: 12459

Reports Status: CLAIMS/NO

MACSIS Last Update Date: 12/14/2011

File Produced: 19MAY2012