UPI (Provider ID): 2516
Change Report (if Any):

Short Name: SOJOURNER

Long Name 1: SOJOURNER RECOVERY SERVICES
Long Name 2: INC

Address 1: 520 HIGH STREET
Address 2:

City: HAMILTON
Zip Code: 450116003
County: BUTL

Contact: AMY ERHARDT
Title: EX DR
Phone: 5138687654
FAX: 5138688091

Vendor: 2516

Reports Status: CLAIMS/BH

MACSIS Last Update Date: 12/06/2011

File Produced: 19MAY2012