Contract Details
Align Networks, Inc.
Facility name
Encore Rehab of Citronelle
Provider ID
P000007138
NPI
1164787214
Tax ID
043821114
Effective Date
4/1/2013
Last Updated
4/12/2018
Direct Contract
No
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
80.00
Location Details
Address
19195 North 3rd Street
Citronelle, AL 36522
United States
County
Mobile
Phone
8663890211 (Phone)
Billing Details
Address
P.O. Box 402355
Atlanta, GA 30384
Billing Phone
8663890211
Specialty Type
Physical Therapy
Map
Address