UPI (Provider ID): 2541
Change Report (if Any):

Short Name: RECOVERY CNTR

Long Name 1: THE RECOVERY CENTER
Long Name 2:

Address 1: 1856 CEDAR HILL ROAD
Address 2:

City: LANCASTER
Zip Code: 43130
County: FAIR

Contact: DONALD STEGMAN
Title: CFO
Phone: 7406874500
FAX: 7406874595

Vendor: 2541

Reports Status: CLAIMS/BH

MACSIS Last Update Date: 12/06/2011

File Produced: 19MAY2012