Contract Details
Facility name
Foley Therapy
Provider ID
P000000001
NPI
1083193874
Tax ID
831512042
Effective Date
4/1/2021
Last Updated
4/8/2021
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
80.00
Location Details
Address
6144 Airport Blvd
Foley, AL 36608
United States
Phone
251-476-5050 (Phone)
Billing Details
Address
6144 Airport Blvd
Foley, AL 36608
Billing Phone
Specialty Type
Speech Therapy Facility
Website
Workers Comp Coordinator
Maria
Michael
251-978-1280
foleytherapy2017@gmail.com
Map
Address