UPI (Provider ID): 10263
Change Report (if Any):

Short Name: BEREA-MADISON

Long Name 1: BEREA CHILDRENS HOME AND
Long Name 2: FAMILY SERVICES

Address 1: 15200 MADISON AVENUE
Address 2:

City: LAKEWOOD
Zip Code: 44107
County: CUYA

Contact: JOHN CADDY
Title:
Phone: 4402342006
FAX: 2165291630

Vendor: 6871

Reports Status: NO CLAIMS/

MACSIS Last Update Date: 11/29/2011

File Produced: 14JUL2016