UPI (Provider ID): 10412
Change Report (if Any):

Short Name: SPECT-13220 EUC

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

Address 1: 13220 EUCLID AVENUE
Address 2:

City: EAST CLEVELAND
Zip Code: 44112
County: CUYA

Contact: STEPHEN MORSE
Title:
Phone: 2169392065
FAX: .

Vendor: 10232

Reports Status: NO CLAIMS/

MACSIS Last Update Date: 11/29/2011

File Produced: 14JUL2016