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Contract Details
Facility name
Saad Healthcare Services
Provider ID
P000002386
NPI
1194780460
Tax ID
630889034
Effective Date
7/15/2009
Last Updated
5/21/2017
Direct Contract
Yes
Term Date
12/31/2012
Status
W9 Attachment
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
80.00
Location Details
Address
1515 University Boulevard South
Mobile, AL 36609
United States
County
Mobile
Phone
2513439600
(
Phone
)
Billing Details
Address
1515 University Boulevard South
Mobile, AL 36609
Billing Phone
2513439600
Specialty Type
Home Health
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Address