Contract Details
Ancillary Care Services
Facility name
HomeChoice Partners
Provider ID
P000005135
NPI
1699854950
Tax ID
541823804
Effective Date
4/1/2012
Last Updated
2/5/2014
Direct Contract
No
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
100.00
Location Details
Address
5365 Robin Hood Road Suite 200
Norfolk, VA 23513
United States
County
Norfolk City
Phone
7578554255 (Phone)
Billing Details
Address
5429 LBJ Freeway
Suite 700
Dallas, TX 75240
Specialty Type
Home Infusion
Map
Address