Contract Details
Encore Rehabilitation, Inc.
Facility name
Encore Rehab of Gatier
Provider ID
P000008734
Tax ID
631225408
Effective Date
1/1/1997
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
4097 Gautier Vancleave Road
Gautier, MS 39553
United States
County
Jackson
Phone
2284974168 (Phone)
Billing Details
Address
251 Johnston Street SE
3rd Floor
Decatur, AL 35601
Billing Phone
2563409708
Specialty Type
Physical Therapy
Map
Address