MACSIS Provider (PROVF) Summary Sheet

UPI (Provider ID): 10032
Change Report (if Any):

Short Name: PASTOR COUN SER

Long Name 1: PASTORAL COUNSELING SERVICE
Long Name 2: OF SUMMIT COUNTY

Address 1: 282 WEST BOWERY STREET
Address 2:

City: AKRON
Zip Code: 44307
County: SUMM

Contact: JANET SPARROW
Title:
Phone: 3309964600
FAX: 3306430767

Vendor: 10032

Reports Status: CLAIMS/NO

MACSIS Last Update Date: 12/22/2011

File Produced: 14JUL2016