# GENESIS REHABILITATION

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023416187
- **Authorized official:** MICHAEL TAYLOR MS, OTR/LL (OCCUPATIONAL THERAPIST)
- **Authorized official phone:** (406) 771-4543

## Contact information

- **Practice address:** 1130 17TH AVE SO, GREAT FALLS, MT 59405
- **Practice address phone:** (406) 771-4543
- **Mailing address:** 1130 17TH AVE S, GREAT FALLS, MT 59405-4523

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | OTR 1665 | MT | Yes |

## Other

- **Enumeration date:** 12/05/2014
- **Last updated:** 12/05/2014