UPI (Provider ID): 1147
Change Report (if Any):

Short Name: NORD

Long Name 1: THE NORD CENTER
Long Name 2:

Address 1: 6140 SOUTH BROADWAY
Address 2:

City: LORAIN
Zip Code: 44053
County: LORA

Contact: BERNADETTE STITCHICK
Title: CFO
Phone: 4402044291
FAX: 4402334158

Vendor: 1147

Reports Status: CLAIMS/BH

MACSIS Last Update Date: 12/06/2011

File Produced: 19MAY2012