Contract Details
Accelerated Rehabilitation Centers
Facility name
Prorehab, PC
Provider ID
P000006074
Tax ID
431661037
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
1047 Century Dr
Edwardsville, IL 62025
United States
County
Madison
Phone
6183073434 (Phone)
Billing Details
Address
5429 LBJ Freeway
Suite 700
Dallas, TX 75240
Specialty Type
Rehabilitation Facility
Map
Address