MACSIS Provider (PROVF) Summary Sheet

UPI (Provider ID): 1257
Change Report (if Any):

Short Name: UNVRSTY SETTLE

Long Name 1: UNIVERSITY SETTLEMENT INC
Long Name 2:

Address 1: 4800 BROADWAY AVENUE
Address 2:

City: CLEVELAND
Zip Code: 44127
County: CUYA

Contact: TRACEY MASON
Title: EXDIR
Phone: 2166418948
FAX: 2166417971

Vendor: 1257

Reports Status: CLAIMS/NO

MACSIS Last Update Date: 02/07/2012

File Produced: 14JUL2016