Contract Details
Ancillary Care Services
Facility name
Kesling Home Health Care
Provider ID
P000004839
NPI
1568642056
Tax ID
351994022
Effective Date
4/1/2012
Last Updated
10/21/2013
Direct Contract
No
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
76.00
Location Details
Address
1115 West Market Street
Logansport, IN 46947
United States
County
Cass
Phone
5747350082 (Phone)
Billing Details
Address
5429 LBJ Freeway
Suite 700
Dallas, TX 75240
Specialty Type
Durable Medical Equipment & Medical Supplies
Map
Address