Contract Details
Ancillary Care Services
Facility name
Medi Home Health & Hospice
Provider ID
P000006454
Tax ID
541783317
Effective Date
4/1/2012
Last Updated
10/16/2013
Direct Contract
No
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
100.00
Location Details
Address
125 Olde Greenwich Drive Suite 150
Fredericksburg, VA 22408
United States
County
Spotsylvania
Phone
5403617696 (Phone)
Billing Details
Address
5429 LBJ Freeway
Suite 700
Dallas, TX 75240
Specialty Type
Durable Medical Equipment & Medical Supplies
Map
Address