UPI (Provider ID): 10269
Change Report (if Any):

Short Name: BEREA-LEWIS RD

Long Name 1: BEREA CHILDRENS HOME
Long Name 2:

Address 1: 8740 LEWIS ROAD
Address 2:

City: OLMSTED FALLS
Zip Code: 44138
County: CUYA

Contact: JOHN CADDY
Title:
Phone: 3306882995
FAX: 3306881405

Vendor: 6871

Reports Status: NO CLAIMS/

MACSIS Last Update Date: 11/29/2011

File Produced: 14JUL2016