Contract Details
Aerosol Plus
Facility name
Aerosol Plus
Provider ID
P000003763
NPI
1073747671
Tax ID
204454915
Effective Date
4/1/2012
Last Updated
10/23/2012
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
68.00
Location Details
Address
239 Business Cir Suite C
Pelham, AL 35124
United States
County
Shelby
Phone
2053868815 (Phone)
Billing Details
Address
5429 LBJ Freeway
Suite 700
Dallas, TX 75240
Specialty Type
Durable Medical Equipment & Medical Supplies
Map
Address