Contract Details
Southern Physical Rehab Network
Facility name
TherapySouth Greystone
Provider ID
P000002467
NPI
1144325994
Tax ID
205395626
Effective Date
12/5/2006
Last Updated
4/12/2018
Direct Contract
Yes
Term Date
9/3/2013
Status
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
85.00
Location Details
Address
2807 Greystone Commercial Boulevard Suite 32
Birmingham, AL 35242
United States
County
Shelby
Phone
2054081713 (Phone)
Billing Details
Address
109 9th Street Southwest
Suite C
Cullman, AL 35055
Billing Phone
2567369926
Specialty Type
Physical Therapy
Map
Address