UPI (Provider ID): 10098
Change Report (if Any):

Short Name: MHS HOMELESS I

Long Name 1: MENTAL HEALTH SERVICES FOR
Long Name 2: HOMELESS PERSONS INC

Address 1: 7408 BROADWAY AVENUE
Address 2:

City: CLEVELAND
Zip Code: 44103
County: CUYA

Contact: DUANA KAYE
Title: DIR
Phone: 2164415966
FAX: 2166236539

Vendor: 10097

Reports Status: NO CLAIMS/

MACSIS Last Update Date: 11/29/2011

File Produced: 14JUL2016