UPI (Provider ID): 2563
Change Report (if Any):

Short Name: CANTON KIDS

Long Name 1: CANTON COMMUNITY KIDSUMMIT
Long Name 2: AGAINST DRUGS

Address 1: 1027 9TH STREET NE
Address 2: PO BOX 20477

City: CANTON
Zip Code: 44702
County: STAR

Contact: JOSEPH PARIS
Title:
Phone: 3304531155
FAX: .

Vendor: 2563

Reports Status: CLAIMS/NO

MACSIS Last Update Date: 11/29/2011

File Produced: 19MAY2012