MACSIS Provider (PROVF) Summary Sheet

UPI (Provider ID): 8227
Change Report (if Any):

Short Name: CN FAM/CHL-4500

Long Name 1: CENTER FOR FAMILIES AND
Long Name 2: CHILDREN

Address 1: 4500 EUCLID AVENUE
Address 2:

City: CLEVELAND
Zip Code: 44103
County: CUYA

Contact: JOHN HECKMAN
Title: FISC
Phone: 2162416400
FAX: 2162415452

Vendor: 8227

Reports Status: NO CLAIMS/

MACSIS Last Update Date: 11/29/2011

File Produced: 14JUL2016