Organization
ENCORE REHABILITATION, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL HENDERSON (PRESIDENT)
(256) 350-1764
Entity
Organization
Contact information
Practice address
251 JOHNSTON ST, SUITE 300, DECATUR, AL 35601-2515
(256) 340-9708
(256) 340-9624
Mailing address
251 JOHNSTON ST, SUITE 300, DECATUR, AL 35601-2515
(256) 340-9708
(256) 340-9624
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
012-00267
BCBS
AL
01
—
012-00328
BCBS
AL
01
—
012-00570
BCBS
AL
05
—
529917620
—
AL
01
—
DB9027
MEDICARE RAILROAD
AL
Enumeration date
05/27/2005
Last updated
05/10/2021
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