MACSIS Provider (PROVF) Summary Sheet

UPI (Provider ID): 13018
Change Report (if Any):

Short Name: VOLUNTEERS-FRAN

Long Name 1: VOLUNTEERS OF AMERICA OF
Long Name 2: GREATER OHIO

Address 1: 1751 EAST LONG STREET
Address 2:

City: COLUMBUS
Zip Code: 43203
County: FRAN

Contact: TERRI POWER
Title: COO
Phone: 6142517610
FAX: 6142517613

Vendor: 13018

Reports Status: CLAIMS/NO

MACSIS Last Update Date: 12/19/2011

File Produced: 19MAY2012