Contract Details
Align Networks, Inc.
Facility name
Encore Rehab of Moulton
Provider ID
P000002127
NPI
1700912052
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
11186 Highway 157 Suite B
Moulton, AL 35650
United States
County
Lawrence
Phone
8663890211 (Phone)
Billing Details
Address
P.O. Box 402355
Atlanta, GA 30384
Billing Phone
8663890211
Specialty Type
Physical Therapy
Map
Address