UPI (Provider ID): 12499
Change Report (if Any):

Short Name: LINCOLN BH HC

Long Name 1: LINCOLN BEHAVIORAL HEALTHCARE
Long Name 2:

Address 1: 800 EAST INDIANOLA AVENUE
Address 2:

City: YOUNGSTOWN
Zip Code: 44502
County: MAHO

Contact: ROBIN VACCER
Title: PRES
Phone: 3307835242
FAX: .

Vendor: 12499

Reports Status: NO CLAIMS/

MACSIS Last Update Date: 11/29/2011

File Produced: 19MAY2012