UPI (Provider ID): 10245
Change Report (if Any):
Short Name: BRIDGEWAY-BRIDG
Long Name 1: BRIDGEWAY INC
Long Name 2:
Address 1: 4115 BRIDGE AVENUE
Address 2:
City: CLEVELAND
Zip Code: 44113
County: CUYA
Contact: GENISE HERBERT
Title:
Phone: 2162814700
FAX: 2166342070
Vendor: 10509
Reports Status: NO CLAIMS/
MACSIS Last Update Date: 11/29/2011
File Produced: 14JUL2016