Contract Details
Ancillary Care Services
Facility name
R&M Rehab
Provider ID
P000006136
Tax ID
392012203
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
115 West 86th Avenue
Merrillville, IN 46410
United States
County
Lake
Phone
2625138440 (Phone)
Billing Details
Address
5429 LBJ Freeway
Suite 700
Dallas, TX 75240
Specialty Type
Durable Medical Equipment & Medical Supplies
Map
Address