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NPI Code Detail

MEDICARE: GENESIS REHABILITATION SERVICES

MEDICARE: GENESIS REHABILITATION 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 Facility4409CT

General Provider Information

NPI Number : 1275891012
Entity Type Code : Organization
Provider Name (Legal Business Name) : GENESIS REHABILITATION SERVICES
Provider Business Mailing Address
First Line : 2835 MAIN ST
Second Line :
City : GLASTONBURY
State : CT
Zip : 06033-1030
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1715 ELLINGTON RD
Second Line :
City : SOUTH WINDSOR
State : CT
Zip : 06074-2707
Country : US
Telephone Number : 860-432-9555
Fax Number :
Authorized Official
Title or Position : SPEECH LANGUAGE PATHOLOGIST
Name : LIANA KINSELLA
Credential :
Telephone Number : 860-995-6906
Provider Enumeration Date : 04/30/2012
Last Update Date : 04/30/2012

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Directions to “GENESIS REHABILITATION SERVICES ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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