UPI (Provider ID): 10259
Change Report (if Any):

Short Name: CHRISTIAN-CLIN

Long Name 1: CLEVELAND CHRISTIAN HOME
Long Name 2:

Address 1: 3101 CLINTON AVENUE
Address 2:

City: CLEVELAND
Zip Code: 44113
County: CUYA

Contact: MIKE SCHERER
Title: DIR
Phone: 2168309925
FAX: 2168309928

Vendor: 10258

Reports Status: NO CLAIMS/

MACSIS Last Update Date: 11/29/2011

File Produced: 14JUL2016