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Contract Details
Encore Rehabilitation, Inc.
Facility name
Encore Rehab of Mobile - I65
Provider ID
P000008326
NPI
1013325091
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
3280 Dauphin Street Suite A-103
Mobile, AL 36606
United States
County
Mobile
Phone
2514598402
(
Phone
)
Billing Details
Address
1908 Flint Road Southeast
Decatur, AL 35601
Billing Phone
2563409708
Specialty Type
Physical Therapy
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Address