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Contract Details
Encore Rehabilitation, Inc.
Facility name
Encore Rehab of Fort Payne
Provider ID
P000002113
Tax ID
631225408
Effective Date
8/10/2000
Last Updated
4/12/2018
Direct Contract
Yes
Term Date
5/9/2013
Status
W9 Attachment
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
80.00
Location Details
Address
200 Medical Center Drive
Fort Payne, AL 35968
United States
County
De Kalb
Phone
2569972460
(
Phone
)
Billing Details
Address
1908 Flint Road Southeast
Decatur, AL 35601
Billing Phone
2563409708
Specialty Type
Physical Therapy
Map
Address