UPI (Provider ID): 10355
Change Report (if Any):

Short Name: AP WCCMHS CSN

Long Name 1: AP WASHINGTON CO COMM MH
Long Name 2: SERVICES CSN

Address 1: 118 PUTNAM STREET
Address 2:

City: MARIETTA
Zip Code: 43750
County: WASH

Contact: DEBRA KOSKO
Title: PGMGR
Phone: 7404320455
FAX: 7404320250

Vendor: 3275

Reports Status: NO CLAIMS/

MACSIS Last Update Date: 11/29/2011

File Produced: 14JUL2016