Contract Details
Align Networks, Inc.
Facility name
Mandeville Physical Therapy & Wellness
Provider ID
P000003387
NPI
1477859601
Tax ID
043821114
Effective Date
10/1/2007
Last Updated
4/12/2018
Direct Contract
No
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
80.00
Location Details
Address
8300 Whitesburg Drive Southeast Suite A
Huntsville, AL 35802
United States
County
Madison
Phone
8663890211 (Phone)
Billing Details
Address
P.O. Box 402355
Atlanta, GA 30384
Billing Phone
8663890211
Specialty Type
Physical Therapy
Map
Address