- Enrollment id
- O20171214000305
- Enrollment state
- AL
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1548787401
- Multiple npi flag
- N
- Ccn
- 017079
- Associate id
- 0547363061
- Organization name
- CARESOUTH HHA HOLDINGS OF VALLEY, LLC
- Doing business as name
- ENHABIT HOME HEALTH
- Organization type structure
- LLC
- Proprietary nonprofit
- P
- Address line 1
- 131 1ST AVE NW
- Address line 2
- STE B
- City
- VERNON
- State
- AL
- Zip code
- 355925635