Organization
ENCORE REHABILITATION INC
Active
Other names
Encore Rehab of Grenada
Organization subpart
No
Provider details
NPI number
Authorized official
LEIGH K USELTON (DIRECTOR OF REIMBURSEMENT)
(228) 388-5714
Entity
Organization
Contact information
Practice address
1322C SUNSET DR, GRENADA, MS 38901-4000
(228) 388-5714
(228) 388-0017
Mailing address
PO BOX 8419, BILOXI, MS 39535-8087
(228) 388-5714
(228) 388-0017
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09015077
—
MS
Enumeration date
03/25/2014
Last updated
12/02/2020
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