UPI (Provider ID): 2515
Change Report (if Any):

Short Name: COMPASS HOUSE

Long Name 1: COMPASS HOUSE I
Long Name 2:

Address 1: 1440 LEXINGTON AVENUE
Address 2:

City: LORAIN
Zip Code: 44052
County: LORA

Contact: WILLIAM JACKSON
Title: ADAST
Phone: 4402465111
FAX: 4402465117

Vendor: 2515

Reports Status: CLAIMS/BH

MACSIS Last Update Date: 11/29/2011

File Produced: 19MAY2012