Contract Details
Ancillary Care Services
Facility name
Grace Rehab
Provider ID
P000005393
NPI
1801808985
Tax ID
710983044
Effective Date
4/1/2012
Last Updated
10/31/2013
Direct Contract
No
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
76.00
Location Details
Address
901 North McDonald Street Suite 906
McKinney, TX 75069
United States
County
Collin
Phone
9729841851 (Phone)
Billing Details
Address
5429 LBJ Freeway
Suite 700
Dallas, TX 75240
Specialty Type
Orthotics/Prosthetics, Services
Map
Address