UPI (Provider ID): 1839
Change Report (if Any):

Short Name: WOMEN ALLIANCE

Long Name 1: WOMENS ALLIANCE FOR
Long Name 2: RECOVERY SERVICES

Address 1: 2012 WEST 25TH STREET
Address 2: SUITE 620

City: CLEVELAND
Zip Code: 44115
County: CUYA

Contact: SYLVIA PACIFICO
Title: COORD
Phone: 2165759120
FAX: 2165751933

Vendor: 1839

Reports Status: NO CLAIMS/

MACSIS Last Update Date: 11/29/2011

File Produced: 14JUL2016