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Contract Details
Encore Rehabilitation, Inc.
Facility name
Encore Rehab of Homewood
Provider ID
P000008518
NPI
1457802183
Tax ID
631225408
Effective Date
9/1/2019
Last Updated
9/12/2019
Direct Contract
Yes
Status
Active
W9 Attachment
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
75.00
Location Details
Address
120-B Oxmoor Court
Birmingham, AL 35209
United States
County
Jefferson
Phone
2053542442
(
Phone
)
Billing Details
Address
P.O. Box 402355
Atlanta, GA 30384
Billing Phone
8663890211
Specialty Type
Physical Therapy
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Address