UPI (Provider ID): 1491
Change Report (if Any):

Short Name: QUEST REC SVCS

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

Address 1: 1341 MARKET AVENUE NORTH
Address 2:

City: CANTON
Zip Code: 44714
County: STAR

Contact: JERRY SEAMAN
Title: EXDIR
Phone: 3304538252
FAX: 3304536716

Vendor: 1491

Reports Status: CLAIMS/BH

MACSIS Last Update Date: 12/16/2011

File Produced: 19MAY2012