UPI (Provider ID): 10589
Change Report (if Any):

Short Name: MERRICK HOUSE

Long Name 1: MERRICK HOUSE
Long Name 2:

Address 1: 1050 STARKWEATHER AVENUE
Address 2:

City: CLEVELAND
Zip Code: 44113
County: CUYA

Contact: LYNNE ROSE
Title:
Phone: 2162814212
FAX: .

Vendor: 10589

Reports Status: NO CLAIMS/

MACSIS Last Update Date: 11/29/2011

File Produced: 14JUL2016