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Grantee Agency
Date:
Jan-06-09
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F
ederal ID:
*Agency Name:
D
UNS Number:
V
endor Reference:
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A
ddress Line 1:
Address
L
ine 2:
*
C
ity:
*
S
tate:
*
Z
ip :
W
ebsite:
F
aith Based:
Yes
No
M
I based business:
Yes
No
*Agency
T
ype:
Agency
S
ub-Type:
Contact Information
*
C
ontact Person:
*
E
mail:
*
P
hone:
Ext:
F
ax:
Ma
i
ling Address Same:
Yes
Agency Xref
Set relation with Grantor Agencies
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County
Primary