UPI (Provider ID): 3042
Change Report (if Any):

Short Name: MURTIS TAYLOR

Long Name 1: MURTIS TAYLOR HUMAN SERVICES
Long Name 2: SYSTEM

Address 1: 13422 KINSMAN ROAD
Address 2:

City: CLEVELAND
Zip Code: 441204410
County: CUYA

Contact: TITUS MUNYASYA
Title:
Phone: 2162834400
FAX: 2162835359

Vendor: 3042

Reports Status: CLAIMS/NO

MACSIS Last Update Date: 12/09/2011

File Produced: 14JUL2016