Contract Details
Facility name
Nutritional Parenteral Home Care of Huntsville
Provider ID
P000002284
NPI
1053488122
Tax ID
630964525
Effective Date
7/8/2009
Last Updated
9/3/2015
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
80.00
Location Details
Address
2650 Leeman Ferry Road Suite C
Huntsville, AL 35801
United States
County
Madison
Phone
2565344663 (Phone)
Billing Details
Address
P.O. Box 534411
Atlanta, GA 30353
Billing Phone
2565344663
Specialty Type
Home Infusion
Map
Address