UPI (Provider ID): 10063
Change Report (if Any):

Short Name: CATH CHAR-MEDIN

Long Name 1: CATHOLIC CHARITIES SERVICES
Long Name 2: OF MEDINA COUNTY

Address 1: 246 NORTHLAND DRIVE
Address 2:

City: MEDINA
Zip Code: 44256
County: MEDI

Contact: KATHY WALBURN
Title:
Phone: 3307239615
FAX: 3307648795

Vendor: 10092

Reports Status: NO CLAIMS/

MACSIS Last Update Date: 11/29/2011

File Produced: 14JUL2016