UPI (Provider ID): 1363
Change Report (if Any):

Short Name: COMPASS FAMILY

Long Name 1: COMPASS FAMILY AND COMMUNITY
Long Name 2: SERVICES

Address 1: 535 MARMION AVENUE
Address 2:

City: YOUNGSTOWN
Zip Code: 44502
County: MAHO

Contact: MARK WINGERT
Title: DOF
Phone: 3307825664
FAX: 3307821614

Vendor: 1363

Reports Status: CLAIMS/NO

MACSIS Last Update Date: 12/06/2011

File Produced: 19MAY2012