UPI (Provider ID): 1072
Change Report (if Any):

Short Name: STELLA MARIS

Long Name 1: STELLA MARIS INC
Long Name 2:

Address 1: 1320 WASHINGTON AVENUE
Address 2:

City: CLEVELAND
Zip Code: 44113
County: CUYA

Contact: MARGARET ROCHE
Title: DIR
Phone: 2167810550
FAX: 2167817501

Vendor: 1072

Reports Status: CLAIMS/BH

MACSIS Last Update Date: 02/27/2012

File Produced: 14JUL2016