UPI (Provider ID): 10222
Change Report (if Any):
Short Name: CATH CHAR-GEORG
Long Name 1: CATHOLIC CHARITIES OF CUYAHOGA
Long Name 2: COUNTY
Address 1: 3434 GEORGE AVENUE
Address 2:
City: PARMA
Zip Code: 44134
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