Contract Details
Ancillary Care Services
Facility name
RehabTech
Provider ID
P000006114
Tax ID
364141292
Effective Date
4/1/2012
Last Updated
10/21/2013
Direct Contract
No
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
68.00
Location Details
Address
317 East Main Street
Griffith, IN 46319
United States
County
Lake
Phone
2199242547 (Phone)
Billing Details
Address
5429 LBJ Freeway
Suite 700
Dallas, TX 75240
Specialty Type
Rehabilitation Facility
Map
Address