Contract Details
Ancillary Care Services
Facility name
Home Respiratory Solutions
Provider ID
P000004249
NPI
1316103229
Tax ID
571121667
Effective Date
4/1/2012
Last Updated
10/1/2013
Direct Contract
No
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
76.00
Location Details
Address
304 East Hampton Springs Avenue
Perry, FL 32347
United States
County
Taylor
Phone
8509732830 (Phone)
Billing Details
Address
5429 LBJ Freeway
Suite 700
Dallas, TX 75240
Specialty Type
Durable Medical Equipment & Medical Supplies
Map
Address