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Contract Details
Thomasville Health Care & Rehabilitation Center
Facility name
Thomasville Home Care & Rehabilitation Center
Provider ID
P000008563
NPI
1750397402
Tax ID
630476107
Effective Date
1/31/2017
Last Updated
2/1/2017
Direct Contract
Yes
Status
Active
W9 Attachment
Contract Discounts
Discount Type
M
Exhibit ID
AM_293
AM_293
Location Details
Address
1425 Mosley Drive
Thomasville, AL 36784
United States
County
Clarke
Phone
3346365614
(
Phone
)
Billing Details
Address
1425 Mosley Drive
Thomasville, AL 36784
Billing Phone
3346365614
Specialty Type
Nursing Facility, Skilled Care
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Address