Contract Details
Encore Rehabiliation, Inc.
Facility name
Encore Rehab of Diamondhead
Provider ID
P000008719
NPI
1881024156
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
5427 Gex Road Suite B
Diamondhead, MS 39525
United States
County
Hancock
Phone
2282224765 (Phone)
Billing Details
Address
251 Johnston Street SE
3rd Floor
Decatur, AL 35601
Billing Phone
2563409708
Specialty Type
Physical Therapy
Map
Address