UPI (Provider ID): 12984
Change Report (if Any):

Short Name: PREMIER CARE

Long Name 1: PREMIER CARE OF OHIO INC
Long Name 2:

Address 1: 732 MAIN STREET
Address 2:

City: TOLEDO
Zip Code: 43605
County: LUCA

Contact: RHONDA WILLHIGHT
Title: OPMG
Phone: 4196911700
FAX: 4192478689

Vendor: 12984

Reports Status: CLAIMS/BH

MACSIS Last Update Date: 04/24/2012

File Produced: 19MAY2012