UPI (Provider ID): 7099
Change Report (if Any):

Short Name: CATH CHAR-STATE

Long Name 1: CATHOLIC CHARITIES CORPORATION
Long Name 2:

Address 1: 6753 STATE ROAD
Address 2:

City: PARMA
Zip Code: 44134
County: CUYA

Contact: KEITH JOHNSON
Title: CFO
Phone: 4408457700
FAX: 4408455910

Vendor: 10092

Reports Status: CLAIMS/BH

MACSIS Last Update Date: 01/03/2013

File Produced: 14JUL2016