MACSIS Provider (PROVF) Summary Sheet

UPI (Provider ID): 12683
Change Report (if Any):

Short Name: NEXT RIGHT THNG

Long Name 1: THE NEXT RIGHT THING
Long Name 2:

Address 1: 1001 GROVE STREET 300
Address 2:

City: MIDDLETOWN
Zip Code: 45044
County: BUTL

Contact: AMY KELLER
Title: EXDIR
Phone: 5137271438
FAX: 5137271532

Vendor: 12683

Reports Status: CLAIMS/BH

MACSIS Last Update Date: 03/27/2012

File Produced: 19MAY2012