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Contract Details
Restore Therapy Services
Facility name
Wilcox Health & Rehab Center
Provider ID
P000007187
NPI
1790025468
Tax ID
631129331
Effective Date
4/1/2013
Last Updated
4/12/2018
Direct Contract
Yes
Status
Active
W9 Attachment
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
75.00
Location Details
Address
325 Whiskey Run Road
Camden, AL 36726
United States
County
Wilcox
Phone
3346829565
(
Phone
)
Billing Details
Address
245 Cahaba Valley Parkway
Suite 200
Pelham, AL 35124
Specialty Type
Physical Therapy
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Address