UPI (Provider ID): 10497
Change Report (if Any):
Short Name: MHS HOMELESS-GL
Long Name 1: MENTAL HEALTH SERVICES FOR
Long Name 2: HOMELESS PERSONS INC
Address 1: 6128 GLASS AVENUE
Address 2:
City: CLEVELAND
Zip Code: 44103
County: CUYA
Contact: DUANA KAYE
Title:
Phone: 2166236555
FAX: 2166236539
Vendor: 10097
Reports Status: NO CLAIMS/
MACSIS Last Update Date: 11/29/2011
File Produced: 14JUL2016