Contract Details
Ancillary Care Services
Facility name
Home Medical Professionals
Provider ID
P000004754
NPI
1538168414
Tax ID
582299172
Effective Date
4/1/2012
Last Updated
9/30/2013
Direct Contract
No
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
76.00
Location Details
Address
6950 Peachtree Industrial Boulevard
Norcross, GA 30071
United States
County
Gwinnett
Phone
6785470619 (Phone)
Billing Details
Address
5429 LBJ Freeway
Suite 700
Dallas, TX 75240
Specialty Type
Durable Medical Equipment & Medical Supplies
Map
Address