Contract Details
Encore Rehabilitation, Inc.
Facility name
Encore Rehab of Bayou La Batre
Provider ID
P000002115
NPI
1427200971
Tax ID
631225408
Effective Date
8/10/2000
Last Updated
4/12/2018
Direct Contract
Yes
Term Date
10/14/2015
Status
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
80.00
Location Details
Address
13040 North Wintzell Avenue Office #2
Bayou La Batre, AL 36509
United States
County
Mobile
Phone
2518242882 (Phone)
Billing Details
Address
1908 Flint Road Southeast
Decatur, AL 35601
Billing Phone
Specialty Type
Physical Therapy
Map
Address