UPI (Provider ID): 10344
Change Report (if Any):

Short Name: SB AFT

Long Name 1: SB ANCHORING FAMILIES TOGETHER
Long Name 2:

Address 1: 2403 AUBURN AVENUE
Address 2:

City: CINCINNATI
Zip Code: 45219
County: HAMI

Contact: AMY ANDERSON
Title: PD
Phone: 5135623100
FAX: 5135623102

Vendor: 3275

Reports Status: NO CLAIMS/

MACSIS Last Update Date: 11/29/2011

File Produced: 14JUL2016