Contract Details
Ancillary Care Services
Facility name
Home Respiratory Solutions
Provider ID
P000005735
NPI
1972544310
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
7478 Southwest 60th Avenue Suite A
Ocala, FL 34476
United States
County
Marion
Phone
8668612332 (Phone)
Billing Details
Address
5429 LBJ Freeway
Suite 700
Dallas, TX 75240
Specialty Type
Durable Medical Equipment & Medical Supplies
Map
Address