UPI (Provider ID): 12497
Change Report (if Any):

Short Name: KIDS HELP KIDS

Long Name 1: KIDS HELPING KIDS
Long Name 2: PATHWAY FAMILY CENTER

Address 1: 6070 BRANCH HILL GUINEA PIKE
Address 2:

City: MILFORD
Zip Code: 45150
County: CLER

Contact: KELLY VANCE
Title: OFMNG
Phone: 5135757300
FAX: 5135757306

Vendor: 12497

Reports Status: NO CLAIMS/

MACSIS Last Update Date: 11/29/2011

File Produced: 19MAY2012