UPI (Provider ID): 10147
Change Report (if Any):

Short Name: QUADCO

Long Name 1: QUADCO REHABILITATION CENTER
Long Name 2:

Address 1: 427 NORTH DEFIANCE STREET
Address 2:

City: STRYKER
Zip Code: 43557
County: WILL

Contact: ANN HOWARD SABO
Title: FIN
Phone: 4196821011
FAX: 4196825601

Vendor: 10147

Reports Status: CLAIMS/NO

MACSIS Last Update Date: 02/23/2012

File Produced: 19MAY2012