Contract Details
Ancillary Care Services
Facility name
InCare Home Health
Provider ID
P000005738
NPI
1972551216
Tax ID
570725306
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
1261 Highway 501 East
Conway, SC 29526
United States
County
Horry
Phone
8433476418 (Phone)
Billing Details
Address
5429 LBJ Freeway
Suite 700
Dallas, TX 75240
Specialty Type
Durable Medical Equipment & Medical Supplies
Map
Address