Organization
ENCORE REHABAILITATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA FLEENER CARPENTER (PHYSICAL THERAPIST)
(985) 643-7402
Entity
Organization
Contact information
Practice address
5427 GEX RD, DIAMONDHEAD, MS 39525-3208
(228) 255-4872
Mailing address
251 JOHNSTON ST SE, SUITE 200, DECATUR, AL 35601-2515
(256) 350-1764
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
04771R
LA
Other
Enumeration date
09/01/2015
Last updated
09/01/2015
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