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Contract Details
Cleveland Senior Living
Facility name
Legacy Woods
Provider ID
P000000001
Tax ID
850744188
Effective Date
11/24/2020
Last Updated
12/1/2020
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
M
Exhibit ID
AM_466
Exhibit Attachment
Location Details
Address
101 Jacobs Lane
Hayden, AL 35079
United States
Phone
205-647-7410
(
Phone
)
Billing Details
Address
101 Jacobs Lane
Hayden, AL 35079
Billing Phone
205-647-7410
Specialty Type
Assisted Living Facility
Website
Visit Website
Workers Comp Coordinator
Derek
Owen
205-647-7410
Sheree
Wright
205-647-7410
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