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NPI Code Detail

MEDICARE: GENESIS ELDERCARE REHABILITATION SERVICES INC

MEDICARE: GENESIS ELDERCARE REHABILITATION SERVICES INC
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
1261QR0400XRehabilitation Clinic/Center

General Provider Information

NPI Number : 1093131716
Entity Type Code : Organization
Provider Name (Legal Business Name) : GENESIS ELDERCARE REHABILITATION SERVICES INC
Provider Business Mailing Address
First Line : 101 E STATE ST
Second Line :
City : KENNETT SQUARE
State : PA
Zip : 19348-3109
Country : US
Telephone Number : 610-925-4432
Fax Number :
Provider Business Practice Location Address
First Line : 1967 HIGHWAY 54 W
Second Line :
City : FAYETTEVILLE
State : GA
Zip : 30214-4747
Country : US
Telephone Number : 770-631-2338
Fax Number :
Authorized Official
Title or Position : SR DIRECTOR
Name : MICHELE K BURK
Credential :
Telephone Number : 610-925-4409
Provider Enumeration Date : 03/06/2014
Last Update Date : 03/06/2014

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Directions to “GENESIS ELDERCARE REHABILITATION SERVICES INC ” Practice Location

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