Encore Rehab Of Lucedale

LBN: Encore Rehabilitation Inc
Encore Rehab Of Lucedale is an health care organization with primary practice located at 2210 Mill Street Ext # B , Lucedale MS 39452-6064. The organization recently has only one registered license in Ambulatory Health Care Facilities / Physical Therapy, which is considered as the primary health care specialty. Encore Rehabilitation Inc can be contacted via phone (601) 947-9005, or through Henderson, Paul G via phone (256) 350-1764.

Contact Information

Primary practice address
2210 Mill Street Ext # B Lucedale MS 39452-6064
Phone: (601) 947-9005
Fax: (601) 947-9007
Website:
Map and Directions
Authorized official contact:
Name: Henderson, Paul G Physical Therapist (PT)
Phone: (256) 350-1764

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Physical Therapy 261QP2000X

Profile Details

NPI number 1205962537
LBN Legal business name Encore Rehabilitation Inc
DBA Doing business as Encore Rehab Of Lucedale
Authorized official Henderson, Paul G Physical Therapist (PT)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 23rd, 2007
Last updated Dec 2nd, 2020 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1205962537 NPPES
Mississippi MEDICAID 090-15077
Mississippi Other 1033218524
Mississippi Other 256-545

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