Contract Details
Facility name
Rehab Center
Provider ID
P000002367
Tax ID
631133454
Effective Date
1/1/1995
Last Updated
4/12/2018
Direct Contract
Yes
Term Date
2/19/2014
Status
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
85.00
Location Details
Address
2033 Cecil Ashburn Drive Southeast
Huntsville, AL 35802
United States
County
Madison
Phone
2568807776 (Phone)
Billing Details
Address
P.O. Box 534509
Atlanta, GA 30353
Billing Phone
2568807776
Specialty Type
Physical Therapy
Map
Address