Contract Details
Encore Rehabilitation, Inc.
Facility name
Encore Rehab Downtown Gulfport
Provider ID
P000008722
NPI
1265567226
Tax ID
631225408
Effective Date
11/1/2017
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
2A Pass Road
Gulfport, MS 39507
United States
County
Harrison
Phone
2288961189 (Phone)
Billing Details
Address
P.O. Box 8419
Biloxi, MS 39535
Billing Phone
2563409708
Specialty Type
Physical Therapy
Map
Address