UPI (Provider ID): 10218
Change Report (if Any):

Short Name: CATH CHAR-MYRON

Long Name 1: CATHOLIC CHARITIES OF CUYAHOGA
Long Name 2: COUNTY

Address 1: 7206 MYRON AVENUE
Address 2:

City: CLEVELAND
Zip Code: 44103
County: CUYA

Contact: KEITH JOHNSON
Title:
Phone: 2166313499
FAX: 2166313654

Vendor: 10092

Reports Status: NO CLAIMS/

MACSIS Last Update Date: 11/29/2011

File Produced: 14JUL2016