UPI (Provider ID): 10624
Change Report (if Any):

Short Name: CHRISTIAN-6800D

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

Address 1: 6800 DETROIT AVENUE
Address 2:

City: CLEVELAND
Zip Code: 44102
County: CUYA

Contact: STEVE MILJENOVIC
Title: PGMGR
Phone: 2166510360
FAX: 2166516491

Vendor: 10258

Reports Status: NO CLAIMS/

MACSIS Last Update Date: 11/29/2011

File Produced: 14JUL2016