Contract Details
Encore Rehabilitation, Inc.
Facility name
Encore Rehab of Fairhope
Provider ID
P000008459
NPI
1023461969
Tax ID
631225408
Effective Date
1/8/2019
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
8096 Twin Beech Road Suite 200
Fairhope, AL 36532
United States
County
Baldwin
Phone
2512100270 (Phone)
Billing Details
Address
251 Johnston Street SE
Suite 300
Decatur, AL 35601
Billing Phone
2283885714
Specialty Type
Physical Therapy
Map
Address