Contract Details
Encore Rehabilitation, Inc.
Facility name
Encore Rehab at The Blake
Provider ID
P000008324
NPI
1194114447
Tax ID
631225408
Effective Date
8/10/2000
Last Updated
9/12/2019
Direct Contract
Yes
Term Date
8/31/2019
Status
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
80.00
Location Details
Address
11626 Highway 90
Daphne, AL 36526
United States
County
Baldwin
Phone
2513165190 (Phone)
Billing Details
Address
1908 Flint Road Southeast
Decatur, AL 35601
Billing Phone
2563409708
Specialty Type
Physical Therapy
Map
Address