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Contract Details
Ball HealthCare Services
Facility name
Robertsdale HealthCare Center
Provider ID
P000009114
Tax ID
631215085
Effective Date
3/29/2018
Last Updated
4/9/2018
Direct Contract
Yes
Status
Active
W9 Attachment
Contract Discounts
Discount Type
M
Exhibit ID
AM_369
AM_369
Location Details
Address
18700 US Highway 90
Robertsdale, AL 36567
United States
County
Baldwin
Phone
2519477243
(
Phone
)
Billing Details
Address
One Southern Way
Mobile, AL 36619
Billing Phone
2514339801
Specialty Type
Nursing Facility, Skilled Care
Map
Address