Contract Details
Facility name
Enhabit Health Home Health
Provider ID
P000000001
NPI
1629539077
Tax ID
834088630
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
74 Plaza Drive Suite 1C
Pell City, AL 35125
United States
Phone
205-338-3250 (Phone)
Billing Details
Address
74 Plaza Drive
Suite 1C
Pell City, AL 35125
Billing Phone
205-338-3250
Specialty Type
Home Health
Map
Address