UPI (Provider ID): 6655
Change Report (if Any):

Short Name: JAIL TX-LAKE CO

Long Name 1: LAKE COUNTY SHERIFF
Long Name 2: JAIL TREATMENT PROGRAM

Address 1: 104 EAST ERIE STREET
Address 2:

City: PAINESVILLE
Zip Code: 44077
County: LAKE

Contact: KATHERINE A SILVI
Title: DIR
Phone: 4403505669
FAX: 4403505668

Vendor: 6655

Reports Status: CLAIMS/BH

MACSIS Last Update Date: 03/15/2012

File Produced: 19MAY2012