UPI (Provider ID): 2526
Change Report (if Any):

Short Name: VILLAGE NETWORK

Long Name 1: THE VILLAGE NETWORK
Long Name 2:

Address 1: 2803 AKRON ROAD
Address 2:

City: WOOSTER
Zip Code: 44691
County: WAYN

Contact: JIM MILLER
Title: DIR
Phone: 3302643232
FAX: 3302626872

Vendor: 2526

Reports Status: CLAIMS/BH

MACSIS Last Update Date: 12/28/2011

File Produced: 19MAY2012