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Contract Details
Facility name
Encore Rehabilitation
Provider ID
P000000001
NPI
1457802183
Tax ID
631225408
Effective Date
12/1/2020
Last Updated
12/17/2020
Direct Contract
Yes
Status
Active
W9 Attachment
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
75.00
Location Details
Address
2020 Canyon Road Suite 200
Vestavia Hills, AL 35216
United States
Phone
205-354-2442
(
Phone
)
Billing Details
Address
1908 Flint Road Southeast
Decatur, AL 35601
Billing Phone
256-340-9708
Specialty Type
Physical Therapy
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