Medicaid Provider Agreement for Nursing Facility ServicesMedicaid Provider Agreement for Nursing Facility Services • January 21st, 2024
Contract Type FiledJanuary 21st, 2024Rockingham Dr Healthcare LLC Legal Name of Entity (the "Provider")15406 Meridian Ave E, Suite 201, Puyallup, WA 98375 Entity's Full Address Arapaho Rehabilitation and Care Center Provider's Facility Name (the "Facility") 1111 Rockingham Dr., Richardson, TX 75080 Provider's Facility Full Address 1033072 005152 5152 (Provider No.) (Facility No.) (Cross Reference No.) I.