# GENESIS REHAB SERVISES

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

## Provider details

- **NPI number:** 1053726083
- **Authorized official:** MR. RUSSELL WAYNE CHALMERS (OCCUPATIONAL THERAPY ASSISTANT)
- **Authorized official phone:** (845) 820-1953

## Contact information

- **Practice address:** 301 SICOMAC AVE, WYCKOFF, NJ 07481-2159
- **Practice address phone:** (201) 848-4323
- **Mailing address:** 200 NORTHPOINTE CIR STE 302, SEVEN FIELDS, PA 16046-7861
- **Mailing address phone:** (724) 779-6440

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 46TA09094700 | NJ | Yes |

## Other

- **Enumeration date:** 06/28/2014
- **Last updated:** 06/28/2014