UPI (Provider ID): 6804
Change Report (if Any):

Short Name: YHAVEN I

Long Name 1: Y HAVEN I
Long Name 2: ITS A NEW DAY

Address 1: 3200 FRANKLIN BLVD
Address 2:

City: CLEVELAND
Zip Code: 44113
County: CUYA

Contact: CHARLES JOSEPH
Title:
Phone: 2162810810
FAX: .

Vendor: 10338

Reports Status: NO CLAIMS/

MACSIS Last Update Date: 11/29/2011

File Produced: 14JUL2016