UPI (Provider ID): 1248
Change Report (if Any):

Short Name: FAM SER-CINCIN

Long Name 1: FAMILY SERVICE OF THE
Long Name 2: CINCINNATI AREA

Address 1: 200 MCFARLAND
Address 2:

City: CINCINNATI
Zip Code: 45202
County: HAMI

Contact: MICHAEL SCHNEIDER
Title: CFO
Phone: 5133816300
FAX: 5133458551

Vendor: 1248

Reports Status: CLAIMS/BH

MACSIS Last Update Date: 12/20/2011

File Produced: 19MAY2012