Contract Details
Novacare Rehabilitation of Ohio Inc
Facility name
Physical Rehab Works
Provider ID
P000006024
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
4110 South Water Tower Pl
Mount Vernon, IL 62864
United States
County
Jefferson
Phone
6182421100 (Phone)
Billing Details
Address
5429 LBJ Freeway
Suite 700
Dallas, TX 75240
Specialty Type
Rehabilitation Facility
Map
Address