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Contract Details
Elite Rehab
Facility name
Total Rehab Solutions
Provider ID
842788208
NPI
1316594732
Tax ID
842788208
Effective Date
1/17/2020
Last Updated
9/14/2023
Direct Contract
Yes
Status
Active
W9 Attachment
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
75.00
Location Details
Address
4 Chambers Square
Valley, AL 36854
United States
Phone
334-631-1151
(
Phone
)
Fax
334-631-1160
Billing Details
Address
4 Chambers Square
Valley, AL 36854
Billing Phone
334-631-1151
Specialty Type
Physical Therapy