Contract Details
Encore Rehabilitation, Inc.
Facility name
Encore Rehab of Dothan
Provider ID
P000009227
NPI
1336625052
Tax ID
631225408
Effective Date
1/1/2018
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
1811 E Main Street Suite 3
Dothan, AL 36301
United States
County
Houston
Phone
3348287300 (Phone)
Billing Details
Address
1908 Flint Road Southeast
Decatur, AL 35601
Billing Phone
2563409708
Specialty Type
Physical Therapy
Map
Address