MACSIS Provider (PROVF) Summary Sheet

UPI (Provider ID): 3593
Change Report (if Any):

Short Name: REHAB OF N CNTR

Long Name 1: REHABILITATION SERVICE OF
Long Name 2: NORTH CENTRAL OHIO

Address 1: 270 STERKEL BOULEVARD RM 24
Address 2:

City: MANSFIELD
Zip Code: 44907
County: RICH

Contact: LINDA LINN
Title: FINC
Phone: 4197561133
FAX: 4197566544

Vendor: 3593

Reports Status: NO CLAIMS/

MACSIS Last Update Date: 11/29/2011

File Produced: 19MAY2012