Contract Details
Encore Rehabilitation, Inc.
Facility name
Encore Rehab of Mobile - Midtown
Provider ID
P000002124
NPI
1700912045
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
3078 Dauphin Square Connector
Mobile, AL 36607
United States
County
Mobile
Phone
2513415662 (Phone)
Billing Details
Address
1908 Flint Road Southeast
Decatur, AL 35601
Billing Phone
2563409708
Specialty Type
Physical Therapy
Map
Address