UPI (Provider ID): 10257
Change Report (if Any):

Short Name: ELDERCARE

Long Name 1: ELDERCARE SERVICES INSTITUTE
Long Name 2:

Address 1: 11900 FAIRHILL ROAD STE 300
Address 2:

City: CLEVELAND
Zip Code: 44120
County: CUYA

Contact: GAIL SELL
Title: ANAC
Phone: 2163731672
FAX: 2167918030

Vendor: 10256

Reports Status: NO CLAIMS/

MACSIS Last Update Date: 11/29/2011

File Produced: 14JUL2016