UPI (Provider ID): 1082
Change Report (if Any):

Short Name: BRIDGEWAY-DENIS

Long Name 1: BRIDGEWAY INC
Long Name 2:

Address 1: 8711 DENISON AVENUE
Address 2:

City: CLEVELAND
Zip Code: 44102
County: CUYA

Contact: SANDRA SCULLY
Title: ADMN
Phone: 2166318686
FAX: 2166342076

Vendor: 10509

Reports Status: NO CLAIMS/

MACSIS Last Update Date: 08/28/2014

File Produced: 14JUL2016