UPI (Provider ID): 2435
Change Report (if Any):

Short Name: E CLEVE NEIGHOR

Long Name 1: EAST CLEVE NEIGHBORHOOD CENTER
Long Name 2: INC

Address 1: 13830 EUCLID AVENUE
Address 2:

City: EAST CLEVELAND
Zip Code: 44112
County: CUYA

Contact: THELMA SHEPPARD
Title: EXDIR
Phone: 2164518172
FAX: 2164518241

Vendor: 2435

Reports Status: CLAIMS/NO

MACSIS Last Update Date: 02/08/2012

File Produced: 14JUL2016