PROVIDER
NAME
076801
FULL CIRCLE, Inc.
Unit
S/A
Srvc Cat
Service Desc
RU
FS
PA
Eff Date
Lap Date
Rate
Descr
Code
14900000
FULL CIRCLE/MH RESPITE/CHILD
5035
35
Y
11/1/2001
06/30/10
150.00
DAY
1490