MACSIS Provider (PROVF) Summary Sheet

UPI (Provider ID): 2444
Change Report (if Any):

Short Name: NEIGHBOR-CUYA

Long Name 1: NEIGHBORHOOD CENTERS ASSOC
Long Name 2:

Address 1: 1761 EAST 30TH STREET
Address 2: SUITE 103

City: CLEVELAND
Zip Code: 44114
County: CUYA

Contact: DON SLOCUM
Title:
Phone: 2162984440
FAX: 2163914817

Vendor: 2444

Reports Status: NO CLAIMS/

MACSIS Last Update Date: 11/29/2011

File Produced: 14JUL2016