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Contract Details
American Family Care, Inc.
Facility name
American Family Care
Provider ID
P000001936
Tax ID
630825248
Effective Date
7/1/2011
Last Updated
4/24/2018
Direct Contract
Yes
Term Date
6/5/2012
Status
W9 Attachment
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
85.00
Location Details
Address
1848 Crestwood Boulevard
Irondale, AL 35210
United States
County
Jefferson
Phone
2059569192
(
Phone
)
Billing Details
Address
P.O. Box 830810
Birmingham, AL 35283
Billing Phone
2054038902
Specialty Type
Urgent Care Facility
Map
Address