UPI (Provider ID): 6972
Change Report (if Any):

Short Name: REC RES-RIDGE

Long Name 1: RECOVERY RESOURCES
Long Name 2: OWF TREATMENT PROGRAM

Address 1: 42485 NORTH RIDGE ROAD
Address 2:

City: ELYRIA
Zip Code: 44035
County: LORA

Contact: HELEN JONES
Title: EXDIR
Phone: 4403246145
FAX: 4403246058

Vendor: 6973

Reports Status: NO CLAIMS/

MACSIS Last Update Date: 11/29/2011

File Produced: 14JUL2016