Contract Details
M&O Enterprises, LLC
Facility name
Solutions Infusion Therapy
Provider ID
P000002412
NPI
1760425011
Tax ID
731649290
Effective Date
12/1/2003
Last Updated
6/6/2014
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
85.00
Location Details
Address
2701 4th Avenue South
Birmingham, AL 35233
United States
County
Jefferson
Phone
2052518676 (Phone)
Billing Details
Address
2701 4th Avenue South
Birmingham, AL 35233
Billing Phone
2052518676
Specialty Type
Home Infusion
Map
Address