# GENESIS REHAB SERVICES

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

## Provider details

- **NPI number:** 1114327798
- **Authorized official:** MRS. CAROLYN LOUISE LAWSON MSPT (PHYSICAL THERAPIST)
- **Authorized official phone:** (502) 452-1579

## Contact information

- **Practice address:** 3802 KLONDIKE LN, LOUISVILLE, KY 40218-1715
- **Practice address phone:** (502) 451-4108
- **Mailing address:** 3802 KLONDIKE LN, LOUISVILLE, KY 40218-1715
- **Mailing address phone:** (502) 452-1579
- **Mailing address fax:** (502) 451-9310

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 004430 | KY | Yes |

## Other

- **Enumeration date:** 09/02/2014
- **Last updated:** 04/20/2015