UPI (Provider ID): 12509
Change Report (if Any):

Short Name: MENDED REEDS

Long Name 1: MENDED REEDS MENTAL HEALTH INC
Long Name 2:

Address 1: 700 PARK AVENUE
Address 2:

City: IRONTON
Zip Code: 45638
County: LAWR

Contact: DAIVD NELSON
Title: EXDIR
Phone: 7405321613
FAX: 7405321715

Vendor: 12509

Reports Status: CLAIMS/BH

MACSIS Last Update Date: 12/19/2011

File Produced: 19MAY2012