Contract Details
Ancillary Care Services
Facility name
Novacare Rehabilitation
Provider ID
P000004624
NPI
1477559771
Tax ID
561818102
Effective Date
4/1/2012
Last Updated
10/16/2013
Direct Contract
No
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
92.00
Location Details
Address
1610 North Queen Street
Kinston, NC 28501
United States
County
Lenoir
Phone
2525221960 (Phone)
Billing Details
Address
5429 LBJ Freeway
Suite 700
Dallas, TX 75240
Specialty Type
Rehabilitation Facility
Map
Address