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Contract Details
Encore Rehabilitation, Inc.
Facility name
Encore Rehab of Starkville
Provider ID
P000008731
NPI
1174867253
Tax ID
631225408
Effective Date
1/1/1997
Last Updated
2/4/2019
Direct Contract
Yes
Term Date
10/31/2018
Status
W9 Attachment
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
80.00
Location Details
Address
450 Highway 12 W Suite D
Starkville, MS 39759
United States
County
Oktibbeha
Phone
6623241314
(
Phone
)
Billing Details
Address
251 Johnston Street SE
3rd Floor
Decatur, AL 35601
Billing Phone
2563409708
Specialty Type
Physical Therapy
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