UPI (Provider ID): 13133
Change Report (if Any):

Short Name: NOAH

Long Name 1: NORTHEAST OHIO APPLIED HEALTH
Long Name 2: NOAH LLC

Address 1: 8536 CROW DRIVE
Address 2:

City: MACEDONIA
Zip Code: 44056
County: SUMM

Contact: DARRYL MASON
Title: EXDIR
Phone: 3304670085
FAX: 3304670094

Vendor: 13066

Reports Status: CLAIMS/BH

MACSIS Last Update Date: 01/06/2012

File Produced: 14JUL2016