# GENESIS REHAB SERVICES

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

## Provider details

- **NPI number:** 1063759371
- **Authorized official:** AMY REBECCA NEUBAUER M.S. CCC-SLP (SPEECH LANGUAGE PATHOLOGIST)
- **Authorized official phone:** (850) 814-3183

## Contact information

- **Practice address:** 101 E STATE ST, KENNETT SQUARE, PA 19348-3109
- **Practice address phone:** (610) 925-1185
- **Mailing address:** 101 E STATE ST, KENNETT SQUARE, PA 19348-3109

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | SA11072 | FL | Yes |

## Other

- **Enumeration date:** 01/07/2013
- **Last updated:** 01/07/2013
