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