Contract Details
ProHealth of Northeast Alabama
Facility name
ProHealth Home Health & Hospice
Provider ID
P000000001
NPI
1538579545
Tax ID
464110517
Effective Date
6/18/2021
Last Updated
7/30/2021
Direct Contract
Yes
Term Date
7/31/2021
Status
Contract Discounts
Discount Type
M
Exhibit ID
AM_483
Location Details
Address
590 East Main Street
Centre, AL 35960
United States
Phone
256-927-5121 (Phone)
Billing Details
Address
590 East Main Street
Centre, AL 35960
Billing Phone
256-927-5121
Specialty Type
Hospice
Website
Visit Website
Map
Address