Contract Details
Facility name
Enhabit Health Home Health
Provider ID
P000000001
NPI
1285119867
Tax ID
832054736
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
650 Stone Avenue
Talladega, AL 35160
United States
Phone
256-268-8701 (Phone)
Billing Details
Address
650 Stone Avenue
Talladega, AL 35160
Billing Phone
256-268-8701
Specialty Type
Home Health
Map
Address