UPI (Provider ID): 12379
Change Report (if Any):

Short Name: NORTHERN OH REC

Long Name 1: NORTHERN OHIO RECOVERY
Long Name 2: ASSOCIATION

Address 1: 2490 LEE BLVD 200
Address 2:

City: CLEVELAND HTS
Zip Code: 44118
County: CUYA

Contact: BARRY BENNETT
Title: CFO
Phone: 2163716672
FAX: .

Vendor: 12379

Reports Status: CLAIMS/BH

MACSIS Last Update Date: 08/11/2014

File Produced: 14JUL2016