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Contract Details
Facility name
Encore Rehab
Provider ID
P000000001
Tax ID
631225408
Effective Date
9/1/2019
Last Updated
1/22/2025
Direct Contract
Yes
Status
Active
W9 Attachment
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
75.00
Location Details
Address
4154 Wulff Road Suite D & E
Semmes, AL 36575
United States
Phone
251-318-2925
(
Phone
)
Billing Details
Address
4154 Wulff Road
Suite D & E
Semmes, AL 36575
Billing Phone
251-318-2925
Specialty Type
Physical Therapy
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Address