UPI (Provider ID): 1446
Change Report (if Any):

Short Name: RECOVERY-PIKE

Long Name 1: PIKE COUNTY RECOVERY COUNCIL
Long Name 2:

Address 1: 111 NORTH HIGH STREET
Address 2:

City: WAVERLY
Zip Code: 45690
County: PIKE

Contact: THOMAS JOHNSON
Title: DIR
Phone: 7409477581
FAX: 7409475774

Vendor: 1446

Reports Status: CLAIMS/BH

MACSIS Last Update Date: 01/06/2012

File Produced: 14JUL2016