UPI (Provider ID): 13228
Change Report (if Any):

Short Name: ADAMS RECVY

Long Name 1: ADAMS RECOVERY CENTER
Long Name 2:

Address 1: 1569 STATE ROUTE 28
Address 2:

City: LOVELAND
Zip Code: 45140
County: CLER

Contact: LORI BROOKBANK
Title: EXDIR
Phone: 5135750968
FAX: 5135751019

Vendor: 60109

Reports Status: CLAIMS/BH

MACSIS Last Update Date: 02/07/2012

File Produced: 19MAY2012