Contract Details
Facility name
Enhabit Health Hospice
Provider ID
P000000001
NPI
1053856591
Tax ID
813288383
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
1807 Station Drive Suite B
Prattville, AL 36066
United States
Phone
256-467-3568 (Phone)
Billing Details
Address
1807 Station Drive
Suite B
Prattville, AL 36066
Billing Phone
334-289-1007
Specialty Type
Hospice
Map
Address