MACSIS Provider (PROVF) Summary Sheet

UPI (Provider ID): 13158
Change Report (if Any):

Short Name: REC RES-HURON C

Long Name 1: RECOVERY RESOURCES
Long Name 2:

Address 1: 13944 EUCLID AVENUE
Address 2: HURON COMMUNITY HEALTH CENTER

City: EAST CLEVELAND
Zip Code: 44112
County: CUYA

Contact: WILLIAM MORGAN
Title: CFO
Phone: 2167674283
FAX: 2164314151

Vendor: 6973

Reports Status: CLAIM/BH

MACSIS Last Update Date: 03/27/2012

File Produced: 14JUL2016