UPI (Provider ID): 3079
Change Report (if Any):

Short Name: HARCATUS

Long Name 1: HARCATUS TRI COUNTY CAO
Long Name 2:

Address 1: 220 GRANT STREET
Address 2:

City: DENNISON
Zip Code: 446210182
County: TUSC

Contact: SUE SHACKELFORD
Title:
Phone: 7409220934
FAX: 7409224128

Vendor: 3079

Reports Status: CLAIMS/NO

MACSIS Last Update Date: 11/29/2011

File Produced: 19MAY2012