Contract Details
Encore Rehabilitation, Inc.
Facility name
Encore Rehab at USA Mobile Neuro
Provider ID
P000008325
NPI
1366846883
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
3301 Knollwood Drive Building 4
Mobile, AL 36693
United States
County
Mobile
Phone
2516622667 (Phone)
Billing Details
Address
1908 Flint Road Southeast
Decatur, AL 35601
Billing Phone
Specialty Type
Physical Therapy
Map
Address