UPI (Provider ID): 8305
Change Report (if Any):

Short Name: GLAD HOUSE

Long Name 1: GLAD HOUSE INC
Long Name 2: EDUC AND ACT FOR CHILDREN

Address 1: 4721 READING ROAD BLDG A
Address 2:

City: CINCINNATI
Zip Code: 45237
County: HAMI

Contact: STEPHANIE CHAMBERS
Title:
Phone: 5136415530
FAX: 5134827042

Vendor: 8305

Reports Status: CLAIMS/NO

MACSIS Last Update Date: 12/08/2011

File Produced: 19MAY2012