Contract Details
Novacare Rehabilitation of Ohio Inc
Facility name
Novacare Rehabilitation
Provider ID
P000004096
NPI
1245235225
Tax ID
363879850
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
1245 South Mill St Suite 5
Nashville, IL 62263
United States
County
Washington
Phone
6183274969 (Phone)
Billing Details
Address
5429 LBJ Freeway
Suite 700
Dallas, TX 75240
Specialty Type
Rehabilitation Facility
Map
Address