Contract Details
Novacare Rehabilitation of Ohio Inc
Facility name
Novacare Rehabilitation
Provider ID
P000004453
NPI
1407054604
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
502 West Saint Louis St Suite 5
West Frankfort, IL 62896
United States
County
Franklin
Phone
6189376200 (Phone)
Billing Details
Address
5429 LBJ Freeway
Suite 700
Dallas, TX 75240
Specialty Type
Rehabilitation Facility
Map
Address