Contract Details
DCH Encore Rehabilitation, LLC
Facility name
DCH Encore Rehabilitation
Provider ID
P000009312
NPI
1942774146
Tax ID
832588747
Effective Date
1/14/2019
Last Updated
2/4/2019
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
80.00
Location Details
Address
1050 Ruby Tyler Pkwy
Tuscaloosa, AL 35404
United States
County
Tuscaloosa
Phone
2057597860 (Phone)
Billing Details
Address
9108 Flint Road Southeast
Decatur, AL 35601
Billing Phone
Specialty Type
Physical Therapy
Map
Address