MACSIS Provider (PROVF) Summary Sheet

UPI (Provider ID): 10390
Change Report (if Any):

Short Name: JEWISH F/S-UHSE

Long Name 1: JEWISH FAMILY SERVICE
Long Name 2: ASSOCIATION OF CLEVELAND OHIO

Address 1: 13609 CEDAR ROAD
Address 2:

City: UNIVERSITY HEIGHTS
Zip Code: 44118
County: CUYA

Contact: KERRY COCKRAM
Title: MIS
Phone: 2163712420
FAX: .

Vendor: 1053

Reports Status: NO CLAIMS/

MACSIS Last Update Date: 11/29/2011

File Produced: 14JUL2016