UPI (Provider ID): 7051
Change Report (if Any):

Short Name: MH TAYLOR-ADULT

Long Name 1: MURTIS H TAYLOR MULTI SERVICE
Long Name 2: ADULT BEHAVIOR CENTER

Address 1: 3010 PROJECT AVENUE
Address 2:

City: CLEVELAND
Zip Code: 44115
County: CUYA

Contact: TITUS MUNYASYA
Title:
Phone: 2162834400
FAX: 2162832099

Vendor: 3042

Reports Status: NO CLAIMS/

MACSIS Last Update Date: 11/29/2011

File Produced: 14JUL2016