MACSIS Provider (PROVF) Summary Sheet

UPI (Provider ID): 1537
Change Report (if Any):

Short Name: YOUR HUMAN RES

Long Name 1: YOUR HUMAN RESOURCE CENTER
Long Name 2:

Address 1: 2587 BACK ORRVILLE ROAD
Address 2:

City: WOOSTER
Zip Code: 44691
County: WAYN

Contact: JIM BIRD
Title: CFO
Phone: 3302649597
FAX: 3302640946

Vendor: 1537

Reports Status: CLAIMS/BH

MACSIS Last Update Date: 12/21/2011

File Produced: 19MAY2012