UPI (Provider ID): 10434
Change Report (if Any):

Short Name: CHRISTIAN-DETRO

Long Name 1: CLEVELAND CHRISTIAN HOME INC
Long Name 2:

Address 1: 5605 DETROIT AVENUE
Address 2:

City: CLEVELAND
Zip Code: 44102
County: CUYA

Contact: ELLIE SINGH
Title:
Phone: 2166710977
FAX: 2169412080

Vendor: 10258

Reports Status: NO CLAIMS/

MACSIS Last Update Date: 11/29/2011

File Produced: 14JUL2016