UPI (Provider ID): 10322
Change Report (if Any):

Short Name: APPLEWOOD-CEN

Long Name 1: APPLEWOOD CENTERS
Long Name 2:

Address 1: 20545 CENTER RIDGE ROAD
Address 2: SUITE LL10

City: ROCKY RIVER
Zip Code: 441163423
County: CUYA

Contact: RICHARD PAULSON
Title: CEO
Phone: 4408950757
FAX: 4403565366

Vendor: 10117

Reports Status: NO CLAIMS/

MACSIS Last Update Date: 11/29/2011

File Produced: 14JUL2016