UPI (Provider ID): 11013
Change Report (if Any):

Short Name: FLORES HOUSE

Long Name 1: BRIDGEWAY INC
Long Name 2: FLORES HOUSE

Address 1: 5605 DETROIT AVENUE
Address 2:

City: CLEVELAND
Zip Code: 44102
County: CUYA

Contact: GENISE HERBERT
Title: MISMG
Phone: 2162610948
FAX: .

Vendor: 10509

Reports Status: NO CLAIMS/

MACSIS Last Update Date: 11/29/2011

File Produced: 14JUL2016