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Contract Details
Ball HealthCare Services
Facility name
Eastview Rehabilitation & HealthCare Center
Provider ID
P000009107
NPI
1275569873
Tax ID
631229367
Effective Date
3/29/2018
Last Updated
4/4/2018
Direct Contract
Yes
Status
Active
W9 Attachment
Contract Discounts
Discount Type
M
Exhibit ID
AM_366
AM_366
Location Details
Address
7755 4th Avenue S
Birmingham, AL 35206
United States
County
Jefferson
Phone
2058330146
(
Phone
)
Billing Details
Address
One Southern Way
Mobile, AL 36619
Billing Phone
2514339801
Specialty Type
Nursing Facility, Skilled Care
Map
Address