Contract Details
Encore Rehabilitation, Inc.
Facility name
Encore Rehab of Fairhope
Provider ID
P000008459
NPI
1023461969
Tax ID
631225408
Effective Date
8/1/2016
Last Updated
7/18/2019
Direct Contract
Yes
Term Date
1/7/2019
Status
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
80.00
Location Details
Address
54 South Greeno Road Suite A
Fairhope, AL 36532
United States
County
Baldwin
Phone
2512102070 (Phone)
Billing Details
Address
251 Johnston Street SE
Suite 300
Decatur, AL 35601
Billing Phone
2283885714
Specialty Type
Physical Therapy
Map
Address