UPI (Provider ID): 6871
Change Report (if Any):

Short Name: GUIDESTONE

Long Name 1: GUIDESTONE
Long Name 2:

Address 1: 202 EAST BAGLEY ROAD
Address 2:

City: BEREA
Zip Code: 44017
County: CUYA

Contact: JOHN CADDY
Title:
Phone: 4402342006
FAX: 4402340787

Vendor: 6871

Reports Status: CLAIMS/BH

MACSIS Last Update Date: 05/15/2012

File Produced: 14JUL2016