UPI (Provider ID): 3314
Change Report (if Any):

Short Name: FAM SER NW OHIO

Long Name 1: FAMILY SERVICES OF NW OHIO
Long Name 2:

Address 1: 701 JEFFERSON
Address 2: SUITE 301

City: TOLEDO
Zip Code: 43604
County: LUCA

Contact: BARBARA PARKS
Title: DIR
Phone: 4193216455
FAX: 4193216452

Vendor: 3314

Reports Status: CLAIMS/NO

MACSIS Last Update Date: 12/10/2011

File Produced: 19MAY2012