Contract Details
Ancillary Care Services
Facility name
Memorial Home Healthcare Incorporated
Provider ID
P000004787
NPI
1548328198
Tax ID
205741667
Effective Date
4/1/2012
Last Updated
10/22/2013
Direct Contract
No
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
76.00
Location Details
Address
439 Mason Park Boulevard Suite A
Katy, TX 77450
United States
County
Harris
Phone
7136808099 (Phone)
Billing Details
Address
5429 LBJ Freeway
Suite 700
Dallas, TX 75240
Specialty Type
Home Health
Map
Address