Contract Details
Ancillary Care Services
Facility name
Respiratory At Home
Provider ID
P000005395
NPI
1801858147
Tax ID
621788912
Effective Date
4/1/2012
Last Updated
9/26/2013
Direct Contract
No
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
88.00
Location Details
Address
3630 Trousdale Avenue Suite F
Nashville, TN 37204
United States
County
Davidson
Phone
6158343808 (Phone)
Billing Details
Address
5429 LBJ Freeway
Suite 700
Dallas, TX 75240
Specialty Type
Durable Medical Equipment & Medical Supplies
Map
Address