UPI (Provider ID): 11235
Change Report (if Any):

Short Name: NEW SUNRISE

Long Name 1: NEW SUNRISE PROPERTIES INC
Long Name 2:

Address 1: 1100 NORTH ABBE ROAD
Address 2: SUITE A

City: ELYRIA
Zip Code: 44035
County: LORA

Contact: MELYA TOLBERT
Title: EXDIR
Phone: 4403659600
FAX: 4403659602

Vendor: 11235

Reports Status: CLAIMS/NO

MACSIS Last Update Date: 01/12/2012

File Produced: 19MAY2012