MACSIS Provider (PROVF) Summary Sheet

UPI (Provider ID): 3270
Change Report (if Any):

Short Name: FAM SER-CLER

Long Name 1: FAMILY SERVICE OF THE
Long Name 2: CINCINNATI AREA

Address 1: 512 HIGH STREET
Address 2:

City: MILFORD
Zip Code: 45150
County: CLER

Contact: MARGOT MARPLES
Title:
Phone: 5133816300
FAX: .

Vendor: 1248

Reports Status: NO CLAIMS/

MACSIS Last Update Date: 11/29/2011

File Produced: 19MAY2012