Contract Details
CareSouth HHA Holdings of Dothan, LLC
Facility name
Enhabit Health Home Health
Provider ID
P000000001
NPI
1073097382
Tax ID
205757719
Effective Date
9/4/2020
Last Updated
5/24/2022
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
M
Exhibit ID
AM_461
Location Details
Address
919 Sharit Avenue Suite 213
Gardendale, AL 35071
United States
Phone
205-224-4545 (Phone)
Billing Details
Address
919 Sharit Avenue
Suite 213
Gardendale, AL 35071
Billing Phone
205-224-4545
Specialty Type
Home Health
Map
Address