# GENESIS REHAB SERVICES

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

## Provider details

- **NPI number:** 1053795542
- **Authorized official:** AMY T MAZALESKI COTA/L (OTA)
- **Authorized official phone:** (877) 456-6726

## Contact information

- **Practice address:** 660 N BROAD ST, LANSDALE, PA 19446-2361
- **Practice address phone:** (215) 361-5600
- **Mailing address:** 101 E STATE ST, KENNETT SQUARE, PA 19348-3109
- **Mailing address phone:** (877) 456-6726

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 310400000X | Assisted Living Facility | OP007449 | PA | Yes |

## Other

- **Enumeration date:** 07/14/2015
- **Last updated:** 07/14/2015
