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Contract Details
Encore Rehabilitation, Inc.
Facility name
Encore Rehab of Tuscaloosa
Provider ID
P000007947
NPI
1780098830
Tax ID
631225408
Effective Date
7/1/2014
Last Updated
2/4/2019
Direct Contract
Yes
Term Date
1/13/2019
Status
W9 Attachment
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
80.00
Location Details
Address
6561 Highway 69 South Suite A
Tuscaloosa, AL 35405
United States
County
Tuscaloosa
Phone
2057221036
(
Phone
)
Billing Details
Address
1908 Flint Road Southeast
Decatur, AL 35601
Billing Phone
2563409708
Specialty Type
Physical Therapy
Map
Address