MACSIS Provider (PROVF) Summary Sheet

UPI (Provider ID): 7015
Change Report (if Any):

Short Name: REC RES-EUC400

Long Name 1: RECOVERY RESOURCES
Long Name 2:

Address 1: 3210 EUCLID AVENUE
Address 2:

City: CLEVELAND
Zip Code: 44115
County: CUYA

Contact: HELEN JONES
Title: EXDIR
Phone: 2164314131
FAX: 2164314133

Vendor: 6973

Reports Status: NO CLAIMS/

MACSIS Last Update Date: 11/29/2011

File Produced: 14JUL2016