UPI (Provider ID): 13100
Change Report (if Any):

Short Name: COLEMAN - LIMA

Long Name 1: COLEMAN PROFESSIONAL SERVICES
Long Name 2:

Address 1: 799 SOUTH MAIN STREET
Address 2:

City: LIMA
Zip Code: 45804
County: ALLE

Contact: BEN R DABBS III
Title: CFO
Phone: 4192292222
FAX: .

Vendor: 8215

Reports Status: CLAIMS/BH

MACSIS Last Update Date: 03/12/2012

File Produced: 14JUL2016