UPI (Provider ID): 3153
Change Report (if Any):

Short Name: BUCKEYE RANCH

Long Name 1: THE BUCKEYE RANCH
Long Name 2:

Address 1: 5665 HOOVER ROAD
Address 2:

City: GROVE CITY
Zip Code: 43123
County: FRAN

Contact: SHERRI ORR
Title: CFO
Phone: 6148752371
FAX: 6148752366

Vendor: 3153

Reports Status: CLAIMS/BH

MACSIS Last Update Date: 03/13/2012

File Produced: 19MAY2012