Contract Details
Novacare Rehabilitation of Ohio Inc
Facility name
Novacare Rehabilitation
Provider ID
P000003915
NPI
1154326130
Tax ID
364030104
Effective Date
4/1/2012
Last Updated
10/23/2012
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
92.00
Location Details
Address
2569 West Fullerton Ave
Chicago, IL 60647
United States
County
Cook
Phone
7732524921 (Phone)
Billing Details
Address
5429 LBJ Freeway
Suite 700
Dallas, TX 75240
Specialty Type
Rehabilitation Facility
Map
Address