UPI (Provider ID): 12686
Change Report (if Any):

Short Name: ACCEPTANCE RECY

Long Name 1: ACCEPTANCE RECOVERY CENTER
Long Name 2:

Address 1: 16600 WEST SPRAGUE ROAD
Address 2: SUITE 225

City: MIDDLEBURG HEIGHTS
Zip Code: 44130
County: CUYA

Contact: CLARENCE FLUKER
Title: COORD
Phone: 4408919177
FAX: 4408910711

Vendor: 12686

Reports Status: CLAIMS/BH

MACSIS Last Update Date: 06/28/2012

File Produced: 14JUL2016