UPI (Provider ID): 10254
Change Report (if Any):

Short Name: BELLEFAIRE-WOOD

Long Name 1: BELLEFAIRE JEWISH CHILDRENS
Long Name 2: BUREAU

Address 1: 6001 WOODLAND AVENUE
Address 2: ROOM 2060

City: CLEVELAND
Zip Code: 44104
County: CUYA

Contact: BRIAN KELLY
Title: CONTR
Phone: 2163918196
FAX: .

Vendor: 2447

Reports Status: NO CLAIMS/

MACSIS Last Update Date: 11/29/2011

File Produced: 14JUL2016