Contract Details
Ancillary Care Services
Facility name
Rehab Techniques
Provider ID
P000004666
NPI
1487820478
Tax ID
331032608
Effective Date
4/1/2012
Last Updated
9/27/2013
Direct Contract
No
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
80.00
Location Details
Address
20 Riverbend Drive Southwest
Rome, GA 30161
United States
County
Floyd
Phone
7707480309 (Phone)
Billing Details
Address
5429 LBJ Freeway
Suite 700
Dallas, TX 75240
Specialty Type
Rehabilitation Facility
Map
Address