Contract Details
Elite Rehab
Facility name
Crain Rehab
Provider ID
631193409
NPI
1376067454
Tax ID
631193409
Effective Date
1/17/2020
Last Updated
1/24/2020
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
75.00
Location Details
Address
301 Wright Street
Tuskegee, AL 36083
United States
Phone
334-725-1261 (Phone)
Billing Details
Address
301 Wright Street
Tuskegee, AL 36083
Billing Phone
334-725-1261
Specialty Type
Physical Therapy