UPI (Provider ID): 6853
Change Report (if Any):

Short Name: CATH CHAR-LAKE

Long Name 1: CATHOLIC CHARITIES SERVICES
Long Name 2: CORP

Address 1: 8 NORTH STATE STREET ROOM 455
Address 2:

City: PAINESVILLE
Zip Code: 44077
County: LAKE

Contact: MARIA NELSON
Title: CLERK
Phone: 4409467264
FAX: 4409531608

Vendor: 10092

Reports Status: NO CLAIMS/

MACSIS Last Update Date: 11/29/2011

File Produced: 14JUL2016