UPI (Provider ID): 3006
Change Report (if Any):

Short Name: REC RES-2900

Long Name 1: RECOVERY RESOURCES
Long Name 2:

Address 1: 4269 PEARL ROAD
Address 2:

City: CLEVELAND
Zip Code: 44109
County: CUYA

Contact: DIANE KENNEDY LANGE
Title: CONT
Phone: 2164314131
FAX: 2164314151

Vendor: 6973

Reports Status: CLAIMS/BH

MACSIS Last Update Date: 07/01/2014

File Produced: 14JUL2016