UPI (Provider ID): 10265
Change Report (if Any):

Short Name: BEREA-285 E BAG

Long Name 1: BEREA CHILDRENS HOME
Long Name 2:

Address 1: 285 EAST BAGLEY ROAD
Address 2:

City: BEREA
Zip Code: 44017
County: CUYA

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

Vendor: 6871

Reports Status: NO CLAIMS/

MACSIS Last Update Date: 11/29/2011

File Produced: 14JUL2016