UPI (Provider ID): 2426
Change Report (if Any):

Short Name: CHALLENGE-CUYA

Long Name 1: COMMUNITY CHALLENGE
Long Name 2:

Address 1: 20525 CENTER RIDGE ROAD
Address 2: SUITE 518

City: ROCKY RIVER
Zip Code: 44116
County: CUYA

Contact: JULIE JOHNSON
Title: EXDIR
Phone: 4403313838
FAX: 4403315655

Vendor: 2426

Reports Status: NO CLAIMS/

MACSIS Last Update Date: 11/29/2011

File Produced: 14JUL2016