MACSIS Provider (PROVF) Summary Sheet

UPI (Provider ID): 10660
Change Report (if Any):

Short Name: JEWISH F/S-GREE

Long Name 1: JEWISH FAMILY SERVICE ASSOC
Long Name 2: OF CLEVELAND OHIO

Address 1: 3659 GREEN ROAD SUITE 322
Address 2:

City: BEACHWOOD
Zip Code: 44122
County: CUYA

Contact: ANGELA MEEKS
Title:
Phone: 2163712600
FAX: 2165040551

Vendor: 1053

Reports Status: NO CLAIMS/

MACSIS Last Update Date: 11/29/2011

File Produced: 14JUL2016