UPI (Provider ID): 11183
Change Report (if Any):

Short Name: OAK RIDGE TRMNT

Long Name 1: OAK RIDGE TREATMENT CENTER
Long Name 2: ACQUISITION CORPORATION

Address 1: 115 PRIVATE ROAD 977
Address 2: PO BOX 6

City: PEDRO
Zip Code: 45659
County: LAWR

Contact: RANDY ODONNELL
Title: CEO
Phone: 7405341386
FAX: 7405341497

Vendor: 11183

Reports Status: NO CLAIMS/

MACSIS Last Update Date: 11/29/2011

File Produced: 19MAY2012