# GENESIS

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

## Provider details

- **NPI number:** 1043520638
- **Authorized official:** DANIELLE NICOLE DEANGELO (COTA/L)
- **Authorized official phone:** (610) 873-5373

## Contact information

- **Practice address:** 2507 CHESTNUT ST, CHESTER, PA 19013-4841
- **Practice address phone:** (610) 872-5373
- **Mailing address:** 2507 CHESTNUT ST, CHESTER, PA 19013-4841

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | OP006969 | DE | — |
| 314000000X | Skilled Nursing Facility | OP006969 | PA | Yes |

## Other

- **Enumeration date:** 10/15/2010
- **Last updated:** 10/15/2010