Contract Details
Sacred Heart Occupational Health and Rehab
Facility name
Sacred Heart Occupational Health and Rehab
Provider ID
P000009059
NPI
1770533077
Tax ID
900036573
Effective Date
1/10/2018
Last Updated
10/8/2018
Direct Contract
Yes
Term Date
6/30/2018
Status
Contract Discounts
Discount Type
M
Exhibit ID
AM_360
Location Details
Address
4929 Mobile HIghway
Pensacola, FL 32506
United States
County
Escambia
Phone
8504354250 (Phone)
Billing Details
Address
4929 Mobile HIghway
Pensacola, FL 32506
Billing Phone
8504354250
Specialty Type
Physical Therapy
Map
Address