Contract Details
Ancillary Care Services
Facility name
Hospice Care of America
Provider ID
P000006419
Tax ID
570936422
Effective Date
4/1/2012
Last Updated
10/17/2013
Direct Contract
No
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
84.00
Location Details
Address
9217 University Boulevard Suite C-1
North Charleston, SC 29406
United States
County
Charleston
Phone
8437970768 (Phone)
Billing Details
Address
5429 LBJ Freeway
Suite 700
Dallas, TX 75240
Specialty Type
Durable Medical Equipment & Medical Supplies
Map
Address