UPI (Provider ID): 10473
Change Report (if Any):
Short Name: QUEST-SMITH HAL
Long Name 1: QUEST RECOVERY AND PREVENTION
Long Name 2: SERVICES
Address 1: 1680 NAVE ROAD SE SMITH HALL
Address 2:
City: MASSILLON
Zip Code: 44646
County: STAR
Contact: JERRY SEAMAN
Title: CEO
Phone: 3308371883
FAX: 3308375603
Vendor: 1491
Reports Status: NO CLAIMS/
MACSIS Last Update Date: 11/29/2011
File Produced: 19MAY2012