Healthcare Provider Details

I. General information

NPI: 1780017657
Provider Name (Legal Business Name): GENESIS REHAB SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/15/2013
Last Update Date: 08/15/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6414 13TH RD. SOUTH WOODLAKE
WEST PALM BEACH FL
33415
US

IV. Provider business mailing address

13774 CALLINGTON DR
WELLINGTON FL
33414-8579
US

V. Phone/Fax

Practice location:
  • Phone: 561-478-9900
  • Fax:
Mailing address:
  • Phone: 561-596-9027
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number6747
License Number StateFL

VIII. Authorized Official

Name: ELIZABETH MCVEY
Title or Position: HR GENERALIST
Credential:
Phone: 610-925-2205