UPI (Provider ID): 8226
Change Report (if Any):

Short Name: BIG BR/SIS-LORA

Long Name 1: BIG BROTHERS BIG SISTERS OF
Long Name 2: LORAIN COUNTY

Address 1: 1917 NORTH RIDGE ROAD EAST
Address 2: SUITE A

City: LORAIN
Zip Code: 44055
County: LORA

Contact: LISE DAY
Title: EXDIR
Phone: 4402776541
FAX: 4402776583

Vendor: 8226

Reports Status: CLAIMS/NO

MACSIS Last Update Date: 01/31/2012

File Produced: 14JUL2016