UPI (Provider ID): 2898
Change Report (if Any):

Short Name: PREB TASC

Long Name 1: PREBLE COUNTY JUVENILE TASC
Long Name 2:

Address 1: 225 NORTH BARRON STREET
Address 2:

City: EATON
Zip Code: 45320
County: PREB

Contact: MICHELLE DAVIS
Title:
Phone: 9374563443
FAX: 9374563062

Vendor: 2898

Reports Status: CLAIMS/NO

MACSIS Last Update Date: 12/27/2011

File Produced: 19MAY2012