UPI (Provider ID): 10105
Change Report (if Any):

Short Name: CATH REGI-TRUM

Long Name 1: CATHOLIC CHARITIES REGIONAL
Long Name 2: AGENCY

Address 1: 175 LAIRD AVENUE NE
Address 2: FL 3

City: WARREN
Zip Code: 44483
County: TRUM

Contact: MARIA CARSON
Title:
Phone: 3303934254
FAX: 3303934050

Vendor: 10105

Reports Status: NO CLAIMS/

MACSIS Last Update Date: 11/29/2011

File Produced: 19MAY2012