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Contract Details
Facility name
TherapySouth Leeds
Provider ID
P000008772
Tax ID
814662110
Effective Date
6/1/2017
Last Updated
9/10/2021
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
80.00
Location Details
Address
1101 Higrove Pkwy Suite 125
Leeds, AL 35094
United States
County
Jefferson
Phone
2056991220
(
Phone
)
Billing Details
Address
1101 Higrove Pkwy
Suite 125
Leeds, AL 35094
Billing Phone
2056991220
Specialty Type
Physical Therapy
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Address