# GENESIS HEALTHCARE

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

## Provider details

- **NPI number:** 1104138924
- **Authorized official:** MR. FREDRICK ANDREW FAUST PTA (PHYSICAL THERAPIST ASSISTANT)
- **Authorized official phone:** (412) 477-3172

## Contact information

- **Practice address:** 1522 BROOKLINE BLVD, PITTSBURGH, PA 15226-1914
- **Practice address phone:** (412) 477-3172
- **Mailing address:** 1522 BROOKLINE BLVD, PITTSBURGH, PA 15226-1914
- **Mailing address phone:** (412) 477-3172

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | TE008531 | PA | Yes |

## Other

- **Enumeration date:** 07/09/2010
- **Last updated:** 07/09/2010
