UPI (Provider ID): 6872
Change Report (if Any):

Short Name: BEREA-3235 PROS

Long Name 1: BEREA CHILDRENS HOME
Long Name 2: FAMILY SERVICES

Address 1: 3235 PROSPECT AVENUE
Address 2:

City: CLEVELAND
Zip Code: 44115
County: CUYA

Contact: JOHN CADDY
Title:
Phone: 2164310045
FAX: 2164316223

Vendor: 6871

Reports Status: NO CLAIMS/

MACSIS Last Update Date: 11/29/2011

File Produced: 14JUL2016