UPI (Provider ID): 8323
Change Report (if Any):

Short Name: WARREN CO TASC

Long Name 1: WARREN COUNTY TASC
Long Name 2:

Address 1: 313 EAST WARREN STREET
Address 2:

City: LEBANON
Zip Code: 45036
County: WARR

Contact: CHARLES STEED
Title: DIR
Phone: 5136952880
FAX: .

Vendor: 8323

Reports Status: CLAIMS/NO

MACSIS Last Update Date: 11/29/2011

File Produced: 19MAY2012