UPI (Provider ID): 1090
Change Report (if Any):

Short Name: BRIDGEWAY-UNBAR

Long Name 1: BRIDGEWAY INC
Long Name 2: THE UNBAR

Address 1: 8301 DETROIT AVENUE
Address 2:

City: CLEVELAND
Zip Code: 44102
County: CUYA

Contact: DEBBIE CASTRO
Title: BUSMG
Phone: 2168899640
FAX: 2166342072

Vendor: 10509

Reports Status: CLAIMS/BH

MACSIS Last Update Date: 12/09/2011

File Produced: 14JUL2016