UPI (Provider ID): 6889
Change Report (if Any):

Short Name: YHAVEN II

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

Address 1: 6001 WOODLAND AVENUE
Address 2:

City: CLEVELAND
Zip Code: 44104
County: CUYA

Contact: CHARLES JOSEPH
Title: PROGD
Phone: 2164312018
FAX: .

Vendor: 10338

Reports Status: NO CLAIMS/

MACSIS Last Update Date: 11/29/2011

File Produced: 14JUL2016