| PROVIDER | NAME | ||||||||
| 154301 | C/J PACKAGING & DIST | ||||||||
| Unit | S/A | ||||||||
| Srvc Cat | Service Desc | RU | FS | PA | Eff Date | Lap Date | Rate | Descr | Code |
| 13100000 | VOCATIONAL REHABILITATION | 5031 | 31 | Y | 7/1/2002 | 6/30/2010 | 36.84 | DAY | 1310 |
| 13100000 | VOCATIONAL REHABILITATION | 5038 | 38 | Y | 7/1/2002 | 6/30/2010 | 36.84 | DAY | 1310 |