MACSIS Provider (PROVF) Summary Sheet

UPI (Provider ID): 10706
Change Report (if Any):

Short Name: QUEST-LINCOLNWY

Long Name 1: QUEST RECOVERY AND RECOVERY
Long Name 2: SERVICES

Address 1: 100 LINCOLN WAY EAST
Address 2: SUITE 180

City: MASSILLON
Zip Code: 44646
County: STAR

Contact: JAMES E BILLOW
Title: CEO
Phone: 3308330234
FAX: 3308377705

Vendor: 1491

Reports Status: NO CLAIMS/

MACSIS Last Update Date: 11/29/2011

File Produced: 19MAY2012