Contract Details
Encore Rehabilitation, Inc.
Facility name
Encore Rehab of Ozark
Provider ID
P000008457
NPI
1760843064
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
618 Andrews Avenue
Ozark, AL 36360
United States
County
Dale
Phone
8668551025 (Phone)
Billing Details
Address
251 Johnston Street SE
Suite 300
Decatur, AL 35601
Billing Phone
2283885714
Specialty Type
Physical Therapy
Map
Address