Contract Details
USA Healthcare--LTC, LLC
Facility name
Folsom Rehab and Health Care Center
Provider ID
P000007933
NPI
1962408310
Tax ID
721377803
Effective Date
6/17/2014
Last Updated
7/2/2014
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
M
Exhibit ID
AM_187
Location Details
Address
401 Arnold Street Northeast
Cullman, AL 35055
United States
County
Cullman
Phone
2567394409 (Phone)
Billing Details
Address
P.O. Box 190
Cullman, AL 35056
Billing Phone
2567394409
Specialty Type
Nursing Facility, Skilled Care
Map
Address