MACSIS Provider (PROVF) Summary Sheet

UPI (Provider ID): 7114
Change Report (if Any):

Short Name: BEREA-3121 EUCL

Long Name 1: BEREA CHILDRENS HOME
Long Name 2: CLEVELAND CARES EAST CLEVELAND

Address 1: 3121 EUCLID AVENUE
Address 2:

City: CLEVELAND
Zip Code: 44115
County: CUYA

Contact: JOHN CADDY
Title:
Phone: 2164268523
FAX: .

Vendor: 6871

Reports Status: NO CLAIMS/

MACSIS Last Update Date: 11/29/2011

File Produced: 14JUL2016