UPI (Provider ID): 10346
Change Report (if Any):

Short Name: VISIT NURSE-CUY

Long Name 1: VISITING NURSE ASSOCIATION
Long Name 2: OF CLEVELAND

Address 1: 2500 EAST 22ND STREET
Address 2:

City: CLEVELAND
Zip Code: 441153204
County: CUYA

Contact: SALLY MOENNICH
Title: EXDIR
Phone: 2163971300
FAX: 2166946379

Vendor: 10346

Reports Status: CLAIMS/BH

MACSIS Last Update Date: 02/15/2012

File Produced: 14JUL2016