Contract Details
Ancillary Care Services
Facility name
Arcadia H.O.M.E.
Provider ID
P000003754
NPI
1073569679
Tax ID
562056348
Effective Date
4/1/2012
Last Updated
10/16/2013
Direct Contract
No
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
76.00
Location Details
Address
186 West Independence Boulevard
Mount Airy, NC 27030
United States
County
Surry
Phone
3367861410 (Phone)
Billing Details
Address
5429 LBJ Freeway
Suite 700
Dallas, TX 75240
Specialty Type
Durable Medical Equipment & Medical Supplies
Map
Address