Contract Details
Encore Rehabiliation, Inc.
Facility name
Encore Rehab of Leakesville
Provider ID
P000008725
NPI
1861527186
Tax ID
631225408
Effective Date
9/1/2019
Last Updated
9/12/2019
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
75.00
Location Details
Address
433 Main Street
Leakesville, MS 39451
United States
County
Greene
Phone
6013944545 (Phone)
Billing Details
Address
251 Johnston Street SE
3rd Floor
Decatur, AL 35601
Billing Phone
2563409708
Specialty Type
Physical Therapy
Map
Address