UPI (Provider ID): 8297
Change Report (if Any):

Short Name: BIG BR/SIS-LICK

Long Name 1: BIG BROTHERS BIG SISTERS OF
Long Name 2: LICKING PERRY COUNTIES

Address 1: 62 WEST LOCUST STREET
Address 2:

City: NEWARK
Zip Code: 43055
County: LICK

Contact: JASON REED
Title: OFADM
Phone: 7403499646
FAX: 7403498618

Vendor: 8297

Reports Status: NO CLAIMS/

MACSIS Last Update Date: 11/29/2011

File Produced: 19MAY2012