Contract Details
Parish Physical Therapy, LLC
Facility name
Greenleaves Physical Therapy
Provider ID
P000006149
Tax ID
721225517
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
2 W Lakeview Dr
Columbia, MS 39429
United States
County
Marion
Phone
9857353080 (Phone)
Billing Details
Address
5429 LBJ Freeway
Suite 700
Dallas, TX 75240
Specialty Type
Rehabilitation Facility
Map
Address