Contract Details
Encore Rehabilitation, Inc.
Facility name
Encore Rehab of Cedar Lake
Provider ID
P000008733
Tax ID
631225408
Effective Date
9/1/2019
Last Updated
9/12/2019
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
75.00
Location Details
Address
1721 Medical Park Drive Suite 102
Biloxi, MS 39532
United States
County
Harrison
Phone
2283924710 (Phone)
Billing Details
Address
251 Johnston Street SE
3rd Floor
Decatur, AL 35601
Billing Phone
2563409708
Specialty Type
Physical Therapy
Map
Address