Contract Details
Encore Rehabiliation, Inc.
Facility name
Encore Rehab of Grenada
Provider ID
P000008720
NPI
1003233271
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
1322C Sunset Drive
Grenada, MS 38901
United States
County
Grenada
Phone
6622941007 (Phone)
Billing Details
Address
251 Johnston Street SE
3rd Floor
Decatur, AL 35601
Billing Phone
2563409708
Specialty Type
Physical Therapy
Map
Address