UPI (Provider ID): 10407
Change Report (if Any):

Short Name: SPECT-EUCLID

Long Name 1: SPECTRUM OF SUPPORTIVE SERVICE
Long Name 2: SHAW APARTMENTS

Address 1: 17300 EUCLID AVENUE
Address 2:

City: CLEVELAND
Zip Code: 44115
County: CUYA

Contact: STEPHEN MORSE
Title: CEO
Phone: 2164861697
FAX: .

Vendor: 10232

Reports Status: NO CLAIMS/

MACSIS Last Update Date: 11/29/2011

File Produced: 14JUL2016