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Contract Details
Rebound, LLC
Facility name
HealthSouth Lakeshore Rehabilitation Hospital
Provider ID
P000002531
NPI
1992778617
Tax ID
621178229
Effective Date
9/15/1994
Last Updated
1/9/2023
Direct Contract
Yes
Status
Active
W9 Attachment
Contract Discounts
Discount Type
M
Exhibit ID
AM_019
AM_019
Location Details
Address
3800 Ridgeway Drive
Birmingham, AL 35209
United States
County
Jefferson
Phone
2058682000
(
Phone
)
Billing Details
Address
3800 Ridgeway Drive
Atlanta, GA 35209
Billing Phone
2058682000
Specialty Type
Hospital, Rehabilitation
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Address