UPI (Provider ID): 8308
Change Report (if Any):

Short Name: PREV PARTNERS

Long Name 1: PREVENTION PARTNERS OF WOOD
Long Name 2: COUNTY

Address 1: 13415 ECKEL JUNCTION ROAD
Address 2:

City: PERRYSBURG
Zip Code: 43551
County: WOOD

Contact: SANDRA HINKLE
Title: EXDIR
Phone: 4198744242
FAX: 4198744775

Vendor: 8308

Reports Status: NO CLAIMS/

MACSIS Last Update Date: 11/29/2011

File Produced: 19MAY2012