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Contract Details
Encore Rehab of Carrollton
Facility name
Encore Rehabilitation, Inc.
Provider ID
P000008938
Tax ID
631225408
Effective Date
1/1/2017
Last Updated
9/12/2019
Direct Contract
Yes
Term Date
8/31/2019
Status
W9 Attachment
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
80.00
Location Details
Address
241 Robert K Wilson Drive
Carrollton, AL 35447
United States
County
Pickens
Phone
2053672468
(
Phone
)
Billing Details
Address
P.O. Box 402355
Atlanta, GA 30384
Billing Phone
8663890211
Specialty Type
Physical Therapy
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Address