UPI (Provider ID): 6977
Change Report (if Any):
Short Name: REC RES-BROAD
Long Name 1: RECOVERY RESOURCES
Long Name 2:
Address 1: 374 BROAD STREET
Address 2:
City: ELYRIA
Zip Code: 44035
County: LORA
Contact: LOUIS WEIGELE
Title: PROGD
Phone: 4403225400
FAX: 4403246058
Vendor: 6973
Reports Status: NO CLAIMS/
MACSIS Last Update Date: 11/29/2011
File Produced: 14JUL2016