UPI (Provider ID): 1548
Change Report (if Any):

Short Name: HARBOR HOUSE

Long Name 1: HARBOR HOUSE
Long Name 2:

Address 1: PO BOX 435
Address 2:

City: NEW PHILADELPHIA
Zip Code: 44663
County: TUSC

Contact: STARLENE LEWIS
Title: EX DR
Phone: 3303432778
FAX: 3303437415

Vendor: 1548

Reports Status: NO CLAIMS/

MACSIS Last Update Date: 11/29/2011

File Produced: 19MAY2012