Contract Details
Rehabtech, Inc
Facility name
Rehabtech, Inc
Provider ID
P000004439
NPI
1396900767
Tax ID
364141292
Effective Date
4/1/2012
Last Updated
10/23/2012
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
68.00
Location Details
Address
302 Edmund St
East Peoria, IL 61611
United States
County
Tazewell
Phone
3096983257 (Phone)
Billing Details
Address
5429 LBJ Freeway
Suite 700
Dallas, TX 75240
Specialty Type
Rehabilitation Facility
Map
Address