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NPI Code Detail

MEDICARE: GENESIS REHAB

MEDICARE: GENESIS REHAB
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1314000000XSkilled Nursing Facility04116OH

General Provider Information

NPI Number : 1134448202
Entity Type Code : Organization
Provider Name (Legal Business Name) : GENESIS REHAB
Provider Business Mailing Address
First Line : 7100 DEARWESTER DR
Second Line :
City : CINCINNATI
State : OH
Zip : 45236-6115
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 7100 DEARWESTER DR
Second Line :
City : CINCINNATI
State : OH
Zip : 45236-6115
Country : US
Telephone Number : 513-745-9925
Fax Number :
Authorized Official
Title or Position : COTA
Name : MRS. ALICIA EILEEN BRIA
Credential : ASSOCIATES
Telephone Number : 706-414-9466
Provider Enumeration Date : 05/27/2010
Last Update Date : 05/27/2010

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Directions to “GENESIS REHAB ” Practice Location

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