UPI (Provider ID): 8335
Change Report (if Any):

Short Name: MAHO CNTY TASC

Long Name 1: MAHONING COUNTY TASC
Long Name 2:

Address 1: 105 EAST BOARDMAN STREET
Address 2:

City: YOUNGSTOWN
Zip Code: 44503
County: MAHO

Contact: SHERRI KOONSE
Title: FIN
Phone: 3307432192
FAX: 3307432408

Vendor: 8335

Reports Status: CLAIMS/BH

MACSIS Last Update Date: 12/20/2011

File Produced: 19MAY2012