UPI (Provider ID): 1249
Change Report (if Any):

Short Name: TALBERT HOUSE

Long Name 1: TALBERT HOUSE
Long Name 2:

Address 1: 2600 VICTORY PARKWAY
Address 2:

City: CINCINNATI
Zip Code: 45206
County: HAMI

Contact: WILLIAM HOSTLER
Title: CFO
Phone: 5137517747
FAX: 5137518107

Vendor: 1249

Reports Status: CLAIMS/NO

MACSIS Last Update Date: 12/30/2011

File Produced: 19MAY2012