UPI (Provider ID): 10365
Change Report (if Any):

Short Name: WASH CO RECOVER

Long Name 1: WASHINGTON COUNTY RECOVERY
Long Name 2: ALTERNATIVES

Address 1: 200 PUTNAM STREET SUITE 728
Address 2:

City: MARIETTA
Zip Code: 45750
County: WASH

Contact: Ray Stathers
Title: Dir
Phone: 7405680733
FAX: 7403749736

Vendor: 10366

Reports Status: NO CLAIMS/

MACSIS Last Update Date: 11/29/2011

File Produced: 19MAY2012