Contract Details
Encore Rehabilitation, Inc.
Facility name
Encore Rehab of Centreville
Provider ID
P000007141
NPI
1154670743
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
122 Walnut Street
Brent, AL 35034
United States
County
Bibb
Phone
2059265343 (Phone)
Billing Details
Address
1908 Flint Road Southeast
Decatur, AL 35601
Billing Phone
2563409708
Specialty Type
Physical Therapy
Map
Address