UPI (Provider ID): 11182
Change Report (if Any):

Short Name: E SIDE CATH KEN

Long Name 1: EAST SIDE CATHOLIC CENTER AND
Long Name 2: SHELTER

Address 1: 13211 CHAPELSIDE AVENUE
Address 2:

City: CLEVELAND
Zip Code: 44120
County: CUYA

Contact: MICHELLE BURLEY KEYS
Title:
Phone: 2162315556
FAX: 2162313993

Vendor: 6989

Reports Status: NO CLAIMS/

MACSIS Last Update Date: 11/29/2011

File Produced: 14JUL2016