Contract Details
Ancillary Care Services
Facility name
Valles and Associates Rehabilitation Services
Provider ID
P000004660
NPI
1487755385
Tax ID
710959510
Effective Date
9/27/2012
Last Updated
10/9/2013
Direct Contract
No
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
68.00
Location Details
Address
12600 Southwest 120th Street Suite 109
Miami, FL 33186
United States
County
Miami-Dade
Phone
3052337035 (Phone)
Billing Details
Address
5429 LBJ Freeway
Suite 700
Dallas, TX 75240
Specialty Type
Rehabilitation Facility
Map
Address