Contract Details
Encore Rehabilitation, Inc.
Facility name
Encore Rehab of Hattiesburg
Provider ID
P000008724
NPI
1033482294
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
498 Tuscan Avenue Box 1108
Hattiesburg, MS 39401
United States
County
Forrest
Phone
6015430221 (Phone)
Billing Details
Address
251 Johnston Street SE
3rd Floor
Decatur, AL 35601
Billing Phone
2563409708
Specialty Type
Physical Therapy
Map
Address