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Contract Details
Facility name
Home Instead
Provider ID
P000000001
NPI
1134386964
Tax ID
631231499
Effective Date
5/16/2023
Last Updated
6/9/2023
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
M
Exhibit ID
AM_518
Exhibit Attachment
Location Details
Address
1231 West Main Street
Dothan, AL 36301
United States
Phone
334-699-6815
(
Phone
)
Billing Details
Address
1231 West Main Street
Dothan, AL 36301
Billing Phone
334-699-6815
Specialty Type
Home Health
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