UPI (Provider ID): 11209
Change Report (if Any):

Short Name: ASIAN SERV CUYA

Long Name 1: ASIAN SERVICES IN ACTION
Long Name 2:

Address 1: 3631 PERKINS AVENUE STE 2AW
Address 2:

City: CLEVELAND
Zip Code: 44114
County: CUYA

Contact: MAY CHEN
Title:
Phone: 2168810330
FAX: 2162415484

Vendor: 8185

Reports Status: CLAIMS/NO

MACSIS Last Update Date: 02/09/2012

File Produced: 14JUL2016