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Contract Details
Align Networks, Inc.
Facility name
Southeastern Rehab - Closed
Provider ID
P000003427
NPI
1912916552
Tax ID
043821114
Effective Date
10/1/2007
Last Updated
12/1/2023
Direct Contract
No
Term Date
6/23/2023
Status
W9 Attachment
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
80.00
Location Details
Address
24663 John T. Reid Parkway Suite A
Scottsboro, AL 35769
United States
County
Jackson
Phone
8663890211
(
Phone
)
Billing Details
Address
24663 John T. Reid Parkway
Suite A
Atlanta, GA 35769
Billing Phone
8663890211
Specialty Type
Physical Therapy
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Address