UPI (Provider ID): 12703
Change Report (if Any):

Short Name: MADISON CO FAMI

Long Name 1: MADISON COUNTY DEPARTMENT OF
Long Name 2: FAMILY AND CHILDREN

Address 1: 200 MIDWAY STREET
Address 2:

City: LONDON
Zip Code: 43140
County: MADI

Contact: SAUNDRA LAPRISE
Title: EXDIR
Phone: 7408520339
FAX: 7408526091

Vendor: 12703

Reports Status: CLAIMS/NO

MACSIS Last Update Date: 11/29/2011

File Produced: 19MAY2012