Contract Details
Ancillary Care Services
Facility name
Novacare Rehabilitation
Provider ID
P000005355
NPI
1790780617
Tax ID
611205126
Effective Date
4/1/2012
Last Updated
10/10/2013
Direct Contract
No
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
92.00
Location Details
Address
1918 Declaration Drive
Independence, KY 41051
United States
County
Kenton
Phone
8593560179 (Phone)
Billing Details
Address
5429 LBJ Freeway
Suite 700
Dallas, TX 75240
Specialty Type
Rehabilitation Facility
Map
Address