UPI (Provider ID): 6973
Change Report (if Any):

Short Name: REC RES-CHESTER

Long Name 1: RECOVERY RESOURCES
Long Name 2:

Address 1: 3950 CHESTER AVENUE
Address 2:

City: CLEVELAND
Zip Code: 44114
County: CUYA

Contact: DEBBIE RODRIGUEZ
Title: CEO
Phone: 2164314131
FAX: 2164314133

Vendor: 6973

Reports Status: CLAIMS/BH

MACSIS Last Update Date: 03/07/2012

File Produced: 14JUL2016