Contract Details
Genesis Rehabilitation
Facility name
Fyzical Therapy and Balance Center
Provider ID
P000002154
NPI
1861523706
Tax ID
202750608
Effective Date
7/1/2005
Last Updated
8/21/2020
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
70.00
Location Details
Address
101 Highway 80 West
Demopolis, AL 36732
United States
County
Marengo
Phone
334-289-5696 (Phone)
Billing Details
Address
101 Highway 80 West
Demopolis, AL 36732
Billing Phone
334-289-5696
Specialty Type
Physical Therapy
Map
Address