Contract Details
Encore Rehabilitation, Inc.
Facility name
Encore Rehab of Pike Road
Provider ID
P000008477
NPI
1447705272
Tax ID
631225408
Effective Date
9/9/2016
Last Updated
4/12/2018
Direct Contract
Yes
Term Date
11/30/2017
Status
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
80.00
Location Details
Address
55 Bridge Street
Pike Road, AL 36064
United States
County
Montgomery
Phone
3345238999 (Phone)
Billing Details
Address
P.O Box 402355
Atlanta, GA 30384
Billing Phone
8663890211
Specialty Type
Physical Therapy
Map
Address