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Contract Details
Facility name
Enhabit Health Home Health
Provider ID
P000007697
Tax ID
630836917
Effective Date
1/1/2014
Last Updated
5/24/2022
Direct Contract
Yes
Status
Active
W9 Attachment
Contract Discounts
Discount Type
M
Exhibit ID
AM_170
AM_170
Location Details
Address
4782 Woodmere Boulevard
Montgomery, AL 36106
United States
County
Montgomery
Phone
3342449125
(
Phone
)
Billing Details
Address
4782 Woodmere Boulevard
Birmingham, AL 36106
Billing Phone
2059818000
Specialty Type
Home Health
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