MACSIS Provider (PROVF) Summary Sheet

UPI (Provider ID): 2938
Change Report (if Any):

Short Name: GALLIA CO LOCAL

Long Name 1: GALLIA COUNTY LOCAL SCHOOLS
Long Name 2: GUILDING CHILDREN TO LIVE SUCC

Address 1: 230 SHAWNEE LANE
Address 2:

City: GALLIPOLIS
Zip Code: 45631
County: GALL

Contact: JAN COEN
Title:
Phone: 7404467919
FAX: 7404463187

Vendor: 2938

Reports Status: NO CLAIMS/

MACSIS Last Update Date: 02/28/2012

File Produced: 19MAY2012