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NPI Code Detail

MEDICARE: GENESIS REHAB SERVICES

MEDICARE: GENESIS REHAB SERVICES
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 Facility3357AL

General Provider Information

NPI Number : 1336585983
Entity Type Code : Organization
Provider Name (Legal Business Name) : GENESIS REHAB SERVICES
Provider Business Mailing Address
First Line : 80 COUNTY ROAD 72
Second Line :
City : DANVILLE
State : AL
Zip : 35619-5564
Country : US
Telephone Number : 256-566-7963
Fax Number :
Provider Business Practice Location Address
First Line : 1350 14TH AVE SE
Second Line :
City : DECATUR
State : AL
Zip : 35601-4364
Country : US
Telephone Number : 256-355-6911
Fax Number :
Authorized Official
Title or Position : CERT. OCCUPATIONAL THERAPY ASST
Name : HEATHER TAYLOR LOVVORN
Credential : COTA/L
Telephone Number : 256-566-7963
Provider Enumeration Date : 05/21/2013
Last Update Date : 05/21/2013

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Directions to “GENESIS REHAB SERVICES ” Practice Location

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