Contract Details
Ancillary Care Services
Facility name
Community Home Health Services
Provider ID
P000004401
NPI
1386697936
Tax ID
592389118
Effective Date
4/1/2012
Last Updated
10/1/2013
Direct Contract
No
Term Date
10/1/2013
Status
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
84.00
Location Details
Address
4175 South Congress Avenue Suite S
Lake Worth, FL 33461
United States
County
Palm Beach
Phone
5616413141 (Phone)
Billing Details
Address
5429 LBJ Freeway
Suite 700
Dallas, TX 75240
Specialty Type
Durable Medical Equipment & Medical Supplies
Map
Address