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Contract Details
Facility name
Enhabit Health Home Health
Provider ID
P000000001
NPI
1538620984
Tax ID
834080476
Effective Date
9/4/2020
Last Updated
6/9/2023
Direct Contract
Yes
Status
Active
W9 Attachment
Contract Discounts
Discount Type
M
Exhibit ID
AM_461
Exhibit Attachment
Location Details
Address
115 Johnston Street SE Suite 301A
Decatur, AL 35601
United States
Phone
256-355-5746
(
Phone
)
Fax
256-350-8962
Billing Details
Address
115 Johnston Street SE
Suite 301A
Decatur, AL 35601
Billing Phone
256-355-5746
Specialty Type
Home Health
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