UPI (Provider ID): 3326
Change Report (if Any):

Short Name: DIVERSIFIED COM

Long Name 1: DIVERSIFIED COMMUNITY SERVICES
Long Name 2:

Address 1: 1651 EAST MAIN STREET
Address 2:

City: COLUMBUS
Zip Code: 43205
County: FRAN

Contact: DEWEY JOHNSON
Title: FINMG
Phone: 6142528688
FAX: 6142526787

Vendor: 3326

Reports Status: NO CLAIMS/

MACSIS Last Update Date: 11/29/2011

File Produced: 19MAY2012