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Contract Details
Three C, LLC
Facility name
3C Complex Care Consultants
Provider ID
P000001931
NPI
1861702029
Tax ID
272079664
Effective Date
4/1/2011
Last Updated
3/4/2022
Direct Contract
Yes
Term Date
2/28/2022
Status
W9 Attachment
Contract Discounts
Discount Type
M
Exhibit ID
AM_156
AM_156
Location Details
Address
3500 Lenox Road Suite 500
Atlanta, GA 30326
United States
County
Fulton
Phone
8776609555
(
Phone
)
Billing Details
Address
3500 Lenox Road
Suite 500
Atlanta, GA 30326
Billing Phone
8776609555
Specialty Type
Home Health
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