UPI (Provider ID): 12763
Change Report (if Any):

Short Name: CATH CHAR-WAYN

Long Name 1: CATHOLIC CHARITIES OF
Long Name 2: WAYNE COUNTY

Address 1: 521 BEALL AVENUE
Address 2:

City: WOOSTER
Zip Code: 44691
County: WAYN

Contact: TAMMY MATHEW
Title: ACCT
Phone: 3302627836
FAX: 3302622867

Vendor: 10092

Reports Status: CLAIMS/NO

MACSIS Last Update Date: 01/07/2013

File Produced: 14JUL2016