Contract Details
Ancillary Care Services
Facility name
Novacare Rehabilitation
Provider ID
P000004620
NPI
1477504496
Tax ID
650366467
Effective Date
4/1/2012
Last Updated
10/2/2013
Direct Contract
No
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
92.00
Location Details
Address
1555 South Federal Highway
Fort Lauderdale, FL 33316
United States
County
Broward
Phone
9547721799 (Phone)
Billing Details
Address
5429 LBJ Freeway
Suite 700
Dallas, TX 75240
Specialty Type
Rehabilitation Facility
Map
Address