Contract Details
Facility name
TheraConnection
Provider ID
P000002465
NPI
1487647210
Tax ID
631231640
Effective Date
1/1/2007
Last Updated
1/6/2021
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
M
Exhibit ID
AM_137
Location Details
Address
3351 Independence Drive Suite 101
Homewood, AL 35209
United States
County
Jefferson
Phone
205-595-6990 (Phone)
Billing Details
Address
3351 Independence Drive
Suite 101
Homewood, AL 35209
Billing Phone
205-595-6990
Specialty Type
Durable Medical Equipment & Medical Supplies