UPI (Provider ID): 1121
Change Report (if Any):

Short Name: CATH CHAR-EUCLI

Long Name 1: CATHOLIC CHARITIES SERVICES
Long Name 2: CORPORATION

Address 1: 3135 EUCLID AVENUE SUITE 202
Address 2:

City: CLEVELAND
Zip Code: 44115
County: CUYA

Contact: RUTH ABEL
Title: BUSAD
Phone: 2166313499
FAX: 2166313654

Vendor: 10092

Reports Status: CLAIMS/BH

MACSIS Last Update Date: 12/16/2011

File Produced: 19MAY2012