UPI (Provider ID): 12781
Change Report (if Any):

Short Name: MILESTONES

Long Name 1: MILESTONES 4 LIFE LLC
Long Name 2:

Address 1: 3400 NORTH HIGH STREET
Address 2: SUITE 130

City: COLUMBUS
Zip Code: 43202
County: FRAN

Contact: DEIDRE ECTOR
Title: FISMG
Phone: 6142611095
FAX: .

Vendor: 12781

Reports Status: CLAIMS/BH

MACSIS Last Update Date: 11/29/2011

File Produced: 19MAY2012