Contract Details
Encore Rehabilitation, Inc.
Facility name
Encore Rehab of Citronelle
Provider ID
P000007138
NPI
1164787214
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
19195 North 3rd Street
Citronelle, AL 36522
United States
County
Mobile
Phone
2518660464 (Phone)
Billing Details
Address
1908 Flint Road Southeast
Decatur, AL 35601
Billing Phone
2563409708
Specialty Type
Physical Therapy
Map
Address