MACSIS Provider (PROVF) Summary Sheet

UPI (Provider ID): 3067
Change Report (if Any):

Short Name: CHILD FOCUS INC

Long Name 1: CHILD FOCUS INC
Long Name 2:

Address 1: 555 CINCINNATI BATAVIA PIKE
Address 2:

City: CINCINNATI
Zip Code: 45244
County: CLER

Contact: BETH MCMANUS
Title:
Phone: 5135287224
FAX: 5136888151

Vendor: 3067

Reports Status: CLAIMS/BH

MACSIS Last Update Date: 12/15/2011

File Produced: 19MAY2012