UPI (Provider ID): 10260
Change Report (if Any):

Short Name: CHRISTIAN-DENI

Long Name 1: CLEVELAND CHRISTIAN HOME
Long Name 2:

Address 1: 1700 DENISON AVENUE
Address 2:

City: CLEVELAND
Zip Code: 44109
County: CUYA

Contact: MIKE SCHERER
Title: DIR
Phone: 2164857440
FAX: 2164857430

Vendor: 10258

Reports Status: NO CLAIMS/

MACSIS Last Update Date: 11/29/2011

File Produced: 14JUL2016