Encore Rehab Of Oak Grove

LBN: Encore Rehabilitation, Inc.
Encore Rehab Of Oak Grove is an health care organization with primary practice located at 122 98 Place Blvd Ste 203040 , Hattiesburg MS 39402-8676. 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) 268-0208, or through Henderson, Paul G via phone (256) 350-1764.

Contact Information

Primary practice address
122 98 Place Blvd Ste 203040 Hattiesburg MS 39402-8676
Phone: (601) 268-0208
Fax: (228) 388-0017
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 1417251414
LBN Legal business name Encore Rehabilitation, Inc.
DBA Doing business as Encore Rehab Of Oak Grove
Authorized official Henderson, Paul G Physical Therapist (PT)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 5th, 2011
Last updated Dec 2nd, 2020 - about 4 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 1417251414 NPPES
Mississippi MEDICAID 09015077
Mississippi Other 1033218524

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