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Contract Details
Rehab Select Center for Rehabilitation
Facility name
Hillview Terrace
Provider ID
P000002196
NPI
1790867497
Tax ID
631278862
Effective Date
8/24/2011
Last Updated
5/21/2017
Direct Contract
Yes
Term Date
6/30/2014
Status
W9 Attachment
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
80.00
Location Details
Address
100 Perry Hill Road
Montgomery, AL 36109
United States
County
Montgomery
Phone
3342720171
(
Phone
)
Billing Details
Address
100 Perry Hill Road
Montgomery, AL 36109
Billing Phone
3342720171
Specialty Type
Nursing Facility, Skilled Care
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Address