Contract Details
Genesis Health
Facility name
Brooks Rehab Center
Provider ID
P000000001
NPI
1225619919
Tax ID
592249372
Effective Date
2/13/2020
Last Updated
12/12/2022
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
M
Exhibit ID
AM_440
Location Details
Address
1180 W. Granada Blvd. Suite C
Ormond Beach, FL 32174
United States
Phone
386-898-0220 (Phone)
Billing Details
Address
P.O. Box 748199
Atlanta, GA 30374
Billing Phone
386-898-0220
Specialty Type
Physical Therapy
Website
Visit Website
Map
Address