Contract Details
Encore Rehabilitation, Inc.
Facility name
Encore Rehab Downtown Gulfport
Provider ID
P000008722
NPI
1265567226
Tax ID
631225408
Effective Date
1/1/1997
Last Updated
4/12/2018
Direct Contract
Yes
Term Date
10/31/2017
Status
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
80.00
Location Details
Address
334 Courthouse Road
Gulfport, MS 39507
United States
County
Harrison
Phone
2288961189 (Phone)
Billing Details
Address
251 Johnston Street SE
3rd Floor
Decatur, AL 35601
Billing Phone
2563409708
Specialty Type
Physical Therapy
Map
Address