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Contract Details
Harmony Wellness and Rehab Solutions, LLC
Facility name
Harmony Wellness and Rehab Solutions
Provider ID
P000009433
NPI
1689227555
Tax ID
842205703
Effective Date
10/23/2019
Last Updated
10/25/2019
Direct Contract
Yes
Status
Active
W9 Attachment
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
75.00
Location Details
Address
6942 Winton Blount Blvd.
Montgomery, AL 36117
United States
County
Montgomery
Phone
3342771234
(
Phone
)
Billing Details
Address
6942 Winton Blount Blvd.
Montgomery, AL 36117
Billing Phone
3342771234
Specialty Type
Physical Therapy
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Address