UPI (Provider ID): 6989
Change Report (if Any):

Short Name: E SIDE CATH SHE

Long Name 1: EAST SIDE CATHOLIC SHELTER
Long Name 2: IWO SAN

Address 1: 11701 SHAKER BLVD
Address 2:

City: CLEVELAND
Zip Code: 44120
County: CUYA

Contact: MICHELE BURLEY KEYS
Title: DIR
Phone: 2162315556
FAX: 2162313993

Vendor: 6989

Reports Status: NO CLAIMS/

MACSIS Last Update Date: 11/29/2011

File Produced: 14JUL2016