UPI (Provider ID): 10092
Change Report (if Any):

Short Name: CATH CHAR-CLEV

Long Name 1: CATHOLIC CHARITIES SERVICES
Long Name 2:

Address 1: 1111 SUPERIOR AVENUE
Address 2:

City: CLEVELAND
Zip Code: 44114
County: CUYA

Contact: THOMAS WOLL
Title:
Phone: 2166966525
FAX: .

Vendor: 10092

Reports Status: NO CLAIMS/

MACSIS Last Update Date: 11/29/2011

File Produced: 14JUL2016