UPI (Provider ID): 10608
Change Report (if Any):

Short Name: CN FA/CH-4500EU

Long Name 1: CENTER FOR FAMILIES AND
Long Name 2: CHILDREN

Address 1: 4500 EUCLID AVENUE
Address 2:

City: CLEVELAND
Zip Code: 44103
County: CUYA

Contact: MELANIE NIGRO
Title: MGOP
Phone: 2164327200
FAX: 2164327252

Vendor: 8227

Reports Status: CLAIMS/NO

MACSIS Last Update Date: 12/16/2011

File Produced: 14JUL2016