UPI (Provider ID): 6714
Change Report (if Any):

Short Name: GLENBEIGH-BEACH

Long Name 1: GLENBEIGH CENTER OF BEACHWOOD
Long Name 2:

Address 1: 3789B SOUTH GREEN ROAD
Address 2:

City: BEACHWOOD
Zip Code: 44122
County: CUYA

Contact: PA WESTON-HALL
Title:
Phone: 2164645800
FAX: 2164641840

Vendor: 6713

Reports Status: NO CLAIMS/

MACSIS Last Update Date: 11/29/2011

File Produced: 14JUL2016