UPI (Provider ID): 6854
Change Report (if Any):

Short Name: CATH CHAR-GEAU

Long Name 1: CATHOLIC CHARITIES SERVICES OF
Long Name 2: GEAUGA COUNTY

Address 1: 10771 MAYFIELD ROAD
Address 2:

City: CHARDON
Zip Code: 44024
County: GEAU

Contact: ANTHONY MARJENIN
Title: DIR
Phone: 8002429755
FAX: 4402854909

Vendor: 10092

Reports Status: NO CLAIMS/

MACSIS Last Update Date: 11/29/2011

File Produced: 14JUL2016