MACSIS Provider (PROVF) Summary Sheet

UPI (Provider ID): 2409
Change Report (if Any):

Short Name: SPFLD HSNG AUTH

Long Name 1: SPRINGFIELD METROPOLITAN
Long Name 2: HOUSING AUTHORITY

Address 1: 526 NORTH MURRAY STREET
Address 2:

City: SPRINGFIELD
Zip Code: 45503
County: CLAR

Contact: RON BENTON
Title: COORD
Phone: 9373257331
FAX: 9373253657

Vendor: 2409

Reports Status: CLAIMS/NO

MACSIS Last Update Date: 11/29/2011

File Produced: 19MAY2012