Contract Details
Ancillary Care Services
Facility name
Medi Home Health & Hospice
Provider ID
P000006457
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
1112 Eden Way North Suite B-200
Chesapeake, VA 23320
United States
County
Chesapeake City
Phone
7574207192 (Phone)
Billing Details
Address
5429 LBJ Freeway
Suite 700
Dallas, TX 75240
Specialty Type
Durable Medical Equipment & Medical Supplies
Map
Address