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Contract Details
DCH Encore Rehabilitation, LLC
Facility name
DCH Encore Rehabilitation
Provider ID
P000009311
NPI
1093279101
Tax ID
832588747
Effective Date
1/14/2019
Last Updated
2/4/2019
Direct Contract
Yes
Status
Active
W9 Attachment
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
80.00
Location Details
Address
92 McFarland Boulevard
Northport, AL 35473
United States
County
Tuscaloosa
Phone
2053449161
(
Phone
)
Billing Details
Address
9108 Flint Road Southeast
Decatur, AL 35601
Billing Phone
2053409708
Specialty Type
Physical Therapy
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