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Contract Details
Encore Rehabilitation, Inc.
Facility name
Encore Rehabilitation
Provider ID
P000000001
NPI
1871214841
Tax ID
631225408
Effective Date
10/3/2022
Last Updated
10/7/2022
Direct Contract
Yes
Status
Active
W9 Attachment
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
75.00
Location Details
Address
120 Cahaba Valley Parkway Suite 201
Pelham, AL 35124
United States
Phone
205-216-2613
(
Phone
)
Billing Details
Address
120 Cahaba Valley Parkway
Suite 201
Pelham, AL 35124
Billing Phone
205-216-2613
Specialty Type
Physical Therapy
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