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NPI Code Detail

MEDICARE: GENESIS REHABILITATION

MEDICARE: GENESIS REHABILITATION
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 FacilityTE009948PA

General Provider Information

NPI Number : 1083030050
Entity Type Code : Organization
Provider Name (Legal Business Name) : GENESIS REHABILITATION
Provider Business Mailing Address
First Line : 171 WERTZ DR
Second Line :
City : DYSART
State : PA
Zip : 16636-9216
Country : US
Telephone Number : 814-215-6606
Fax Number :
Provider Business Practice Location Address
First Line : 37 CENTRAL AVE
Second Line :
City : WELLSBORO
State : PA
Zip : 16901-1857
Country : US
Telephone Number : 570-724-3131
Fax Number :
Authorized Official
Title or Position : PTA
Name : BROOKE EMILY WERTZ
Credential :
Telephone Number : 814-215-6606
Provider Enumeration Date : 03/13/2014
Last Update Date : 03/13/2014

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Directions to “GENESIS REHABILITATION ” Practice Location

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