MACSIS Provider (PROVF) Summary Sheet

UPI (Provider ID): 8426
Change Report (if Any):

Short Name: BUTLER CO TASC

Long Name 1: RESOLUTIONS COMMUNITY SOLUTION
Long Name 2: BUTLER COUNTY TASC

Address 1: 110 SOUTH SECOND AVENUE
Address 2:

City: HAMILTON
Zip Code: 45011
County: BUTL

Contact: SANDY MCINTIRE
Title: DIR
Phone: 5137377600
FAX: 5137854345

Vendor: 8426

Reports Status: NO CLAIMS/

MACSIS Last Update Date: 11/29/2011

File Produced: 19MAY2012