UPI (Provider ID): 10117
Change Report (if Any):

Short Name: APPLEWOOD-22ND

Long Name 1: APPLEWOOD CENTERS INC
Long Name 2:

Address 1: 2525 EAST 22ND STREET
Address 2:

City: CLEVELAND
Zip Code: 44115
County: CUYA

Contact: WALTER LEITCH
Title: MGR
Phone: 2166965800
FAX: 2166966592

Vendor: 10117

Reports Status: CLAIMS/NO

MACSIS Last Update Date: 03/30/2012

File Produced: 14JUL2016