MACSIS Provider (PROVF) Summary Sheet

UPI (Provider ID): 2430
Change Report (if Any):

Short Name: TRANSITIONAL HS

Long Name 1: TRANSITIONAL HOUSING INC
Long Name 2:

Address 1: 1545 WEST 25TH STREET
Address 2:

City: CLEVELAND
Zip Code: 44113
County: CUYA

Contact: JULIE DELGADOL
Title: ACT
Phone: 2167812250
FAX: 2167812252

Vendor: 2430

Reports Status: NO CLAIMS/

MACSIS Last Update Date: 11/29/2011

File Produced: 14JUL2016