UPI (Provider ID): 10264
Change Report (if Any):

Short Name: BEREA-15040 EUC

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

Address 1: 15040 EUCLID AVENUE
Address 2:

City: EAST CLEVELAND
Zip Code: 44112
County: CUYA

Contact: JOHN CADDY
Title:
Phone: 2168518700
FAX: .

Vendor: 6871

Reports Status: NO CLAIMS/

MACSIS Last Update Date: 11/29/2011

File Produced: 14JUL2016