MACSIS Provider (PROVF) Summary Sheet

UPI (Provider ID): 2422
Change Report (if Any):

Short Name: HEAR/SPECH-CUYA

Long Name 1: CLEVELAND HEARING SPEECH CENT
Long Name 2:

Address 1: 11206 EUCLID AVENUE
Address 2:

City: CLEVELAND
Zip Code: 44106
County: CUYA

Contact: MARY EARLY
Title:
Phone: 2162318787
FAX: 2162317141

Vendor: 2422

Reports Status: CLAIMS/NO

MACSIS Last Update Date: 11/29/2011

File Produced: 14JUL2016