UPI (Provider ID): 10413
Change Report (if Any):

Short Name: MH TAYLOR-MILES

Long Name 1: MURTIS H TAYLOR
Long Name 2:

Address 1: 1708 SOUTHPOINT DRIVE
Address 2: 4TH FLOOR

City: CLEVELAND
Zip Code: 44109
County: CUYA

Contact: PHYLLIS DUKES
Title: CPO
Phone: 2162834400
FAX: 2162835359

Vendor: 3042

Reports Status: NO CLAIMS/

MACSIS Last Update Date: 11/29/2011

File Produced: 14JUL2016