Contract Details
Facility name
Hueytown Rehab
Provider ID
P000002374
Tax ID
631156852
Effective Date
4/1/1999
Last Updated
4/12/2018
Direct Contract
Yes
Term Date
9/12/2013
Status
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
85.00
Location Details
Address
2603 Moody Parkway Suite 101
Moody, AL 35004
United States
County
Saint Clair
Phone
2056407882 (Phone)
Billing Details
Address
P.O. Box 175
Trussville, AL 35173
Billing Phone
2056407882
Specialty Type
Physical Therapy
Map
Address