MACSIS Provider (PROVF) Summary Sheet

UPI (Provider ID): 12510
Change Report (if Any):

Short Name: KEY DECISIONS

Long Name 1: KEY DECISIONS INC
Long Name 2:

Address 1: 3030 EUCLID AVENUE SUITE 410
Address 2:

City: CLEVELAND
Zip Code: 44115
County: CUYA

Contact: OWEN TAYLOR
Title: CEO
Phone: 2163910977
FAX: 2163910978

Vendor: 10532

Reports Status: CLAIMS/BH

MACSIS Last Update Date: 12/22/2011

File Produced: 14JUL2016