MACSIS Provider (PROVF) Summary Sheet

UPI (Provider ID): 10033
Change Report (if Any):

Short Name: COMM SUPPORT

Long Name 1: COMMUNITY SUPPORT SERVICES INC
Long Name 2:

Address 1: 150 CROSS STREET
Address 2:

City: AKRON
Zip Code: 44311
County: SUMM

Contact: PEGGIE PRYSTASH
Title: ACCNT
Phone: 3302539388
FAX: 3303766726

Vendor: 10033

Reports Status: CLAIMS/NO

MACSIS Last Update Date: 03/29/2012

File Produced: 14JUL2016