UPI (Provider ID): 10315
Change Report (if Any):

Short Name: BRIDGEWAY-130TH

Long Name 1: BRIDGEWAY INC
Long Name 2:

Address 1: 4256 WEST 130TH STREET
Address 2:

City: CLEVELAND
Zip Code: 44135
County: CUYA

Contact: GENISE HERBERT
Title:
Phone: 2167213030
FAX: 2167213096

Vendor: 10509

Reports Status: NO CLAIMS/

MACSIS Last Update Date: 11/29/2011

File Produced: 14JUL2016