UPI (Provider ID): 11024
Change Report (if Any):

Short Name: MH TAYLOR-NOBLE

Long Name 1: THE MURTIS H TAYLOR MULTI
Long Name 2: SERVICES CENTER

Address 1: 1862 NOBLE ROAD
Address 2:

City: EAST CLEVELAND
Zip Code: 44112
County: CUYA

Contact: TITUS MUNYASYA
Title:
Phone: 2162834400
FAX: .

Vendor: 3042

Reports Status: NO CLAIMS/

MACSIS Last Update Date: 11/29/2011

File Produced: 14JUL2016