Contract Details
Encore Rehabilitation, Inc.
Facility name
Encore Rehab of Evergreen
Provider ID
P000002108
NPI
1437588845
Tax ID
631225408
Effective Date
8/10/2000
Last Updated
9/12/2019
Direct Contract
Yes
Term Date
8/31/2019
Status
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
80.00
Location Details
Address
225 South Court Street
Evergreen, AL 36401
United States
County
Conecuh
Phone
2515786863 (Phone)
Billing Details
Address
1908 Flint Road Southeast
Decatur, AL 35601
Billing Phone
2563409708
Specialty Type
Physical Therapy
Map
Address