MACSIS Provider (PROVF) Summary Sheet

UPI (Provider ID): 1114
Change Report (if Any):

Short Name: UNITED LABOR

Long Name 1: UNITED LABOR AGENCY INC
Long Name 2: ALCOHOL AND DRUG PREVENTION

Address 1: 3328 CARNEGIE AVENUE
Address 2:

City: CLEVELAND
Zip Code: 44115
County: CUYA

Contact: YVETTE HASAN
Title:
Phone: 2163910900
FAX: 2163916959

Vendor: 1114

Reports Status: NO CLAIMS/

MACSIS Last Update Date: 11/29/2011

File Produced: 14JUL2016