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Contract Details
Achieve Services, Inc.
Facility name
Achieve Home Nursing Service
Provider ID
P000002585
Tax ID
264036442
Effective Date
9/28/2011
Last Updated
12/8/2016
Direct Contract
Yes
Term Date
1/5/2017
Status
W9 Attachment
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
95.00
Location Details
Address
209 20th Street North
Birmingham, AL 35203
United States
County
Jefferson
Phone
8888051198
(
Phone
)
Billing Details
Address
P.O. Box 725428
Atlanta, GA 31139
Billing Phone
8888051198
Specialty Type
Home Health
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