MACSIS Provider (PROVF) Summary Sheet

UPI (Provider ID): 12708
Change Report (if Any):

Short Name: HOUSING SOLUTON

Long Name 1: HOUSING SOLUTIONS OF GREENE
Long Name 2: COUNTY INC

Address 1: 335 EAST MARKET STREET
Address 2:

City: XENIA
Zip Code: 45385
County: GREE

Contact: RHONDA BAER
Title: DIR
Phone: 9373767810
FAX: 9373769244

Vendor: 12708

Reports Status: CLAIMS/NO

MACSIS Last Update Date: 11/29/2011

File Produced: 19MAY2012