Contract Details
Align Networks, Inc.
Facility name
Encore Rehab of Mobile - Tillman's Corner
Provider ID
P000003367
NPI
1043346380
Tax ID
043821114
Effective Date
10/1/2007
Last Updated
4/12/2018
Direct Contract
No
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
80.00
Location Details
Address
5643 Sermon Road South
Theodore, AL 36582
United States
County
Mobile
Phone
8663890211 (Phone)
Billing Details
Address
P.O. Box 402355
Atlanta, GA 30384
Billing Phone
8663890211
Specialty Type
Physical Therapy
Map
Address