UPI (Provider ID): 10112
Change Report (if Any):

Short Name: EL CENTRO

Long Name 1: EL CENTRO DE SERVICIOS
Long Name 2: SOCIALES

Address 1: 1888 EAST 31ST STREET
Address 2:

City: LORAIN
Zip Code: 44055
County: LORA

Contact: IVONNE LLADO
Title: EXEC
Phone: 4402778235
FAX: 4402779236

Vendor: 10112

Reports Status: CLAIMS/NO

MACSIS Last Update Date: 01/04/2012

File Produced: 19MAY2012