Contract Details
TherapySouth, LLC
Facility name
TherapySouth Florence
Provider ID
P000009208
NPI
1275013351
Tax ID
208098766
Effective Date
8/1/2018
Last Updated
8/27/2018
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
80.00
Location Details
Address
3226 Florence Blvd.
Florence, AL 35634
United States
County
Lauderdale
Phone
2562753312 (Phone)
Billing Details
Address
727 Stone Avenue
Talladega, AL 35160
Billing Phone
2563159693
Specialty Type
Physical Therapy
Map
Address