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Contract Details
Achieve Services, Inc.
Facility name
Achieve Home Nursing Service
Provider ID
P000002591
NPI
1720390560
Tax ID
900664932
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
4045 Orchard Road Building 300
Smyrna, GA 30080
United States
County
Cobb
Phone
8888051198
(
Phone
)
Billing Details
Address
P.O. Box 725428
Atlanta, GA 31139
Billing Phone
8888051198
Specialty Type
Home Health
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