Contract Details
Ancillary Care Services
Facility name
Academy/P&O Care Centers
Provider ID
P000006171
Tax ID
113193924
Effective Date
4/1/2012
Last Updated
10/16/2013
Direct Contract
No
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
92.00
Location Details
Address
319 South Main Street
Salisbury, NC 28144
United States
County
Rowan
Phone
8006692672 (Phone)
Billing Details
Address
5429 LBJ Freeway
Suite 700
Dallas, TX 75240
Specialty Type
Orthotics/Prosthetics, Services
Map
Address