Mike  L  Jones    RPT
Contract Details
Rehab South
Facility name
Provider ID
P000000858
NPI
1861479388
Tax ID
631050487
Effective Date
4/1/2011
Last Updated
6/9/2014
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
80.00
Location Details
Address
2980 Highway 78 East
Jasper, AL 35501
United States
County
Walker
Phone
2053841941 (Phone)
Billing Details
Address
P.O. Box 1667
Jasper, AL 35501
Billing Phone
2053841941
Specialty Type
Physical Therapy
Map
Address