MACSIS Provider (PROVF) Summary Sheet

UPI (Provider ID): 7108
Change Report (if Any):

Short Name: CARES OHIO CITY

Long Name 1: CATHOLIC CHARITIES SERVICES
Long Name 2: CLEVELAND CARES OHIO CITY

Address 1: 2012 WEST 25TH STREET 3RD FL
Address 2:

City: CLEVELAND
Zip Code: 44113
County: CUYA

Contact: THOMAS WOLL
Title:
Phone: 2166313499
FAX: .

Vendor: 10092

Reports Status: NO CLAIMS/

MACSIS Last Update Date: 11/29/2011

File Produced: 14JUL2016