UPI (Provider ID): 13472
Change Report (if Any):

Short Name: CATH CHAR-29TH

Long Name 1: CATHOLIC CHARITIES CORPORATION
Long Name 2:

Address 1: 1515 WEST 29TH STREET
Address 2:

City: CLEVELAND
Zip Code: 44113
County: CUYA

Contact: KARL CETINA
Title: DIR
Phone: 2165749000
FAX: 2166646534

Vendor: 10092

Reports Status: CLAIMS/BH

MACSIS Last Update Date: 12/24/2013

File Produced: 14JUL2016