UPI (Provider ID): 12834
Change Report (if Any):

Short Name: ELDERCARE SERV

Long Name 1: ELDERCARE SERVICES INSTITUTE
Long Name 2:

Address 1: 11890 FAIRHILL ROAD
Address 2: SUITE 300

City: CLEVELAND
Zip Code: 441201053
County: CUYA

Contact: BERT RAHL
Title: CEO
Phone: 2167918000
FAX: 2163731816

Vendor: 12834

Reports Status: CLAIMS/NO

MACSIS Last Update Date: 04/19/2013

File Produced: 14JUL2016