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Contract Details
Rehab Select Center for Rehabilitation
Facility name
Talladega Health and Rehab
Provider ID
P000002451
NPI
1932281615
Tax ID
631050461
Effective Date
7/1/2014
Last Updated
7/11/2017
Direct Contract
Yes
Status
Active
W9 Attachment
Contract Discounts
Discount Type
M
Exhibit ID
AM_224
AM_224
Location Details
Address
616 Chaffee Street
Talladega, AL 35160
United States
County
Talladega
Phone
2563624197
(
Phone
)
Billing Details
Address
616 Chaffee Street
Talladega, AL 35160
Billing Phone
2563624197
Specialty Type
Rehabilitation Facility
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