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
1316 East Main St
Carbondale, IL 62901
United States
County
Jackson
Phone
6185293201 (Phone)
Billing Details
Address
5429 LBJ Freeway
Suite 700
Dallas, TX 75240
Specialty Type
Rehabilitation Facility
Map
Address