Contract Details
Encore Rehabilitation, Inc.
Facility name
Encore Rehab of Fayette
Provider ID
P000007784
NPI
1205264736
Tax ID
631225408
Effective Date
8/10/2000
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
120 16th Street Northeast
Fayette, AL 35555
United States
County
Fayette
Phone
2059048228 (Phone)
Billing Details
Address
1908 Flint Road Southeast
Decatur, AL 35601
Billing Phone
2563409708
Specialty Type
Physical Therapy
Map
Address