UPI (Provider ID): 8033
Change Report (if Any):

Short Name: N CANTON PLYHSE

Long Name 1: NORTH CANTON PLAYHOUSE
Long Name 2: SPOTLIGHT ON YOUTH

Address 1: 525 SEVENTH STREET NE
Address 2:

City: NORTH CANTON
Zip Code: 44720
County: STAR

Contact: ERA TRIPP
Title: EX DR
Phone: 3304941593
FAX: .

Vendor: 8033

Reports Status: CLAIMS/NO

MACSIS Last Update Date: 11/29/2011

File Produced: 19MAY2012