UPI (Provider ID): 12423
Change Report (if Any):

Short Name: GOLDEN CIPHERS

Long Name 1: GOLDEN CIPHERS
Long Name 2:

Address 1: 5704 BROADWAY
Address 2:

City: CLEVELAND
Zip Code: 44127
County: CUYA

Contact: PAMELA HUBBARD
Title: CEO
Phone: 2166870000
FAX: 2166879187

Vendor: 12423

Reports Status: CLAIMS/NO

MACSIS Last Update Date: 04/02/2014

File Produced: 14JUL2016