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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 Facility2006017162MO

General Provider Information

NPI Number : 1609188986
Entity Type Code : Organization
Provider Name (Legal Business Name) : GENESIS REHAB SERVICES
Provider Business Mailing Address
First Line : 11900 JESSICA LN
Second Line :
City : RAYTOWN
State : MO
Zip : 64138-2649
Country : US
Telephone Number : 816-743-0085
Fax Number :
Provider Business Practice Location Address
First Line : 11900 JESSICA LN
Second Line :
City : RAYTOWN
State : MO
Zip : 64138-2649
Country : US
Telephone Number : 816-743-0085
Fax Number :
Authorized Official
Title or Position : REGIONAL DIRECTOR
Name : JENNIFER MEYER
Credential :
Telephone Number : 816-916-6974
Provider Enumeration Date : 07/02/2010
Last Update Date : 07/02/2010

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Directions to “GENESIS REHAB SERVICES ” Practice Location

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