MACSIS Provider (PROVF) Summary Sheet

UPI (Provider ID): 13721
Change Report (if Any):

Short Name: FOCUS RESIDNTAL

Long Name 1: FOCUS RESIDENTIAL GROUP LLC
Long Name 2:

Address 1: 303 GERVAIS ROAD
Address 2:

City: FRANKLIN FURNACE
Zip Code: 45629
County: SCIO

Contact: KELLY GIFFORD
Title: EXDIR
Phone: 7402597000
FAX: 7402597003

Vendor: 60260

Reports Status: CLAIMS/BH

MACSIS Last Update Date: 09/11/2014

File Produced: 14JUL2016