Contract Details
All About Sports
Facility name
All About Sports
Provider ID
P000008644
Tax ID
428314310
Effective Date
3/22/2017
Last Updated
3/4/2022
Direct Contract
Yes
Term Date
2/28/2022
Status
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
70.00
Location Details
Address
2709 Mamie Foster
Homewood, AL 35209
United States
County
Jefferson
Phone
2059103495 (Phone)
Billing Details
Address
2709 Mamie Foster
Hoover, AL 35209
Billing Phone
2059103495
Specialty Type
Massage Therapist
Map
Address