UPI (Provider ID): 7022
Change Report (if Any):
Short Name: COMM ASMNT-SE
Long Name 1: COMMUNITY ASSESSMENT
Long Name 2: FOUNDATION SOUTHEAST
Address 1: 7835 HARVARD AVENUE
Address 2:
City: CLEVELAND
Zip Code: 44105
County: CUYA
Contact: BILL RICHARDSON
Title: CFO
Phone: 2164410200
FAX: 2164413176
Vendor: 6663
Reports Status: NO CLAIMS/
MACSIS Last Update Date: 11/29/2011
File Produced: 14JUL2016