UPI (Provider ID): 13147
Change Report (if Any):

Short Name: CATH CHAR-SUMM

Long Name 1: CATHOLIC CHARITIES COMMUNITY
Long Name 2: SERVICES SUMMIT

Address 1: 812 BIRUTA STREET
Address 2:

City: AKRON
Zip Code: 44307
County: SUMM

Contact: DON FINN
Title: DIR
Phone: 3307622961
FAX: 3307622001

Vendor: 10092

Reports Status: CLAIMS/NO

MACSIS Last Update Date: 09/15/2015

File Produced: 14JUL2016