Tax ID|SERVICE|REV CODE|PER DIEM|NPI
205926930|Skilled Nursing|550|125.00|1750369245
205926930|Physical Therapy|421|140.00| 1750369245
205926930|Occupational Therapy|431|140.00| 1750369245
205926930|Speech Therapy|441|140.00| 1750369245
582175978|Medical Social Services|561|130.00|1700851649
261381726|Home Health Aide|571|60.00|1972762599
261381726|Non-Routine Services|80% of billed charges|1972762599|