UPI (Provider ID): 6332
Change Report (if Any):

Short Name: SALESIAN B & G

Long Name 1: SALESIAN BOYS AND GIRLS CLUB
Long Name 2: OF COLUMBUS INC

Address 1: 80 SOUTH SIXTH STREET
Address 2:

City: COLUMBUS
Zip Code: 43215
County: FRAN

Contact: MATTHEW ORIAN
Title: CPA
Phone: 6142248000
FAX: 6142283333

Vendor: 6332

Reports Status: CLAIMS/NO

MACSIS Last Update Date: 11/29/2011

File Produced: 19MAY2012