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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 FacilityOTA 04357OH

General Provider Information

NPI Number : 1891010617
Entity Type Code : Organization
Provider Name (Legal Business Name) : GENESIS REHABILITATION SERVICES
Provider Business Mailing Address
First Line : 600 S BROAD ST
Second Line :
City : KENNETT SQUARE
State : PA
Zip : 19348-3346
Country : US
Telephone Number : 800-992-9711
Fax Number :
Provider Business Practice Location Address
First Line : 3 MERIT DR
Second Line :
City : RICHMOND HEIGHTS
State : OH
Zip : 44143-1457
Country : US
Telephone Number : 216-261-9600
Fax Number :
Authorized Official
Title or Position : PROGRAM MANAGER
Name : KRYSTAL ALLEN
Credential :
Telephone Number : 216-261-9600
Provider Enumeration Date : 04/05/2010
Last Update Date : 04/05/2010

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Directions to “GENESIS REHABILITATION SERVICES ” Practice Location

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