UPI (Provider ID): 2996
Change Report (if Any):

Short Name: FIRST STEP HOME

Long Name 1: FIRST STEP HOME
Long Name 2:

Address 1: 2230 GILBERT AVENUE
Address 2:

City: CINCINNATI
Zip Code: 45206
County: HAMI

Contact: CRYSTAL DAVIS
Title:
Phone: 5139217324
FAX: 5139212375

Vendor: 2996

Reports Status: CLAIMS/BH

MACSIS Last Update Date: 12/14/2011

File Produced: 19MAY2012