MACSIS Provider (PROVF) Summary Sheet

UPI (Provider ID): 10666
Change Report (if Any):

Short Name: CONSUMER PROTEC

Long Name 1: CONSUMER PROTECTION
Long Name 2: ASSOCIATION

Address 1: 3030 EUCLID AVENUE SUITE 105
Address 2:

City: CLEVELAND
Zip Code: 441152525
County: CUYA

Contact: ANGELA NORRELL
Title:
Phone: 2168813434
FAX: 2168816524

Vendor: 10666

Reports Status: CLAIMS/NO

MACSIS Last Update Date: 03/26/2012

File Produced: 14JUL2016