UPI (Provider ID): 12834
Change Report (if Any):

Short Name: ELDERCARE SERV

Long Name 1: ELDERCARE SERVICES INSTITUTE
Long Name 2:

Address 1: 11900 FAIRHILL ROAD SUITE 300
Address 2:

City: CLEVELAND
Zip Code: 441201053
County: CUYA

Contact: FRANK CARDINALE
Title: CFO
Phone: 2167918000
FAX: 2163731816

Vendor: 12834

Reports Status: CLAIMS/NO

MACSIS Last Update Date: 12/08/2011

File Produced: 19MAY2012