UPI (Provider ID): 11159
Change Report (if Any):

Short Name: MH TAYLOR-STCLA

Long Name 1: MURTIS H TAYLOR MULTI SERVICE
Long Name 2: CENTER

Address 1: 10640 ST CLAIR AVENUE
Address 2:

City: CLEVELAND
Zip Code: 44108
County: CUYA

Contact: JOHN CHAN
Title: CFO
Phone: 2162684900
FAX: 2162685846

Vendor: 3042

Reports Status: NO CLAIMS/

MACSIS Last Update Date: 11/29/2011

File Produced: 14JUL2016