UPI (Provider ID): 6755
Change Report (if Any):

Short Name: HLTH REC-ATHEN

Long Name 1: HEALTH RECOVERY SERVICES
Long Name 2:

Address 1: 224 COLUMBUS ROAD
Address 2:

City: ATHENS
Zip Code: 45701
County: ATHE

Contact: REGINA SMITH
Title: FS DR
Phone: 7405926724
FAX: 7405926728

Vendor: 6755

Reports Status: CLAIMS/BH

MACSIS Last Update Date: 01/11/2012

File Produced: 19MAY2012