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Organization
GENESIS REHABILITATION
Active
Organization
GENESIS REHABILITATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHELLY MARIE DAVIS PTA (PTA)
(406) 771-4543
Entity
Organization
Contact information
Practice address
1130 17 TH AVE SOUTH, GREAT FALLS, MT 59405
(406) 771-4543
(406) 771-4569
Mailing address
508 50TH ST S, GREAT FALLS, MT 59405-3839
(406) 217-7193
(406) 771-4569
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
1533
MT
Other
Enumeration date
12/05/2014
Last updated
12/05/2014
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