UPI (Provider ID): 2269
Change Report (if Any):

Short Name: FRESH - EUCLID

Long Name 1: FRESH START II
Long Name 2:

Address 1: 16801 EUCLID AVENUE
Address 2:

City: CLEVELAND
Zip Code: 44112
County: CUYA

Contact: PAUL ZIMCH
Title:
Phone: 2165311373
FAX: 2165312737

Vendor: 6955

Reports Status: NO CLAIMS/

MACSIS Last Update Date: 11/29/2011

File Produced: 14JUL2016