Contract Details
Facility name
Elite Rehab
Provider ID
P000000001
NPI
1649913120
Tax ID
881319658
Effective Date
9/7/2023
Last Updated
9/14/2023
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
75.00
Location Details
Address
213 Lightwood Road Suite 2
Deatsville, AL 36022
United States
Phone
334-543-4269 (Phone)
Billing Details
Address
213 Lightwood Road
Suite 2
Deatsville, AL 36022
Billing Phone
334-543-4269
Specialty Type
Physical Therapy
Website
Visit Website
Map
Address