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Contract Details
Facility name
Enhabit Health Home Health
Provider ID
P000000001
NPI
1366904161
Tax ID
834080476
Effective Date
9/4/2020
Last Updated
5/24/2022
Direct Contract
Yes
Status
Active
W9 Attachment
Contract Discounts
Discount Type
M
Exhibit ID
AM_461
Exhibit Attachment
Location Details
Address
33 Aliant Parkway
Alexander City, AL 35010
United States
Phone
256-329-0507
(
Phone
)
Fax
256-329-0554
Billing Details
Address
33 Aliant Parkway
Alexander City, AL 35010
Billing Phone
256-329-0507
Specialty Type
Home Health
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