UPI (Provider ID): 10432
Change Report (if Any):

Short Name: CATH CHAR-CENTR

Long Name 1: CATHOLIC CHARITIES SERVICES
Long Name 2: CORPORATION

Address 1: 2209 CENTRAL AVENUE
Address 2:

City: CLEVELAND
Zip Code: 44115
County: CUYA

Contact: LEN MIKULA
Title: B ADM
Phone: 2166313499
FAX: 2166313654

Vendor: 10092

Reports Status: NO CLAIMS/

MACSIS Last Update Date: 11/29/2011

File Produced: 14JUL2016