UPI (Provider ID): 6716
Change Report (if Any):

Short Name: GLENBEIGH-NILES

Long Name 1: GLENBEIGH CENTER OF NILES
Long Name 2:

Address 1: 29 NORTH ROAD SE
Address 2:

City: NILES
Zip Code: 44446
County: TRUM

Contact: PAT WESTON-HALL
Title: DIR
Phone: 3306526770
FAX: 3306522069

Vendor: 6713

Reports Status: NO CLAIMS/

MACSIS Last Update Date: 11/29/2011

File Produced: 14JUL2016