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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 Facility9273OH

General Provider Information

NPI Number : 1881907921
Entity Type Code : Organization
Provider Name (Legal Business Name) : GENESIS REHABILITATION SERVICES
Provider Business Mailing Address
First Line : 7201 WADE PARK AVE
Second Line :
City : CLEVELAND
State : OH
Zip : 44103-2765
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 7201 WADE PARK AVE
Second Line :
City : CLEVELAND
State : OH
Zip : 44103-2765
Country : US
Telephone Number : 216-361-6141
Fax Number : 216-361-0766
Authorized Official
Title or Position : PROGRAM MANAGER
Name : BETHANY KOCH
Credential : SLP
Telephone Number : 216-361-6141
Provider Enumeration Date : 07/19/2010
Last Update Date : 07/19/2010

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Directions to “GENESIS REHABILITATION SERVICES ” Practice Location

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