# GENESIS REHABILITATION

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

## Provider details

- **NPI number:** 1124426283
- **Authorized official:** SHELLY MARIE DAVIS PTA (PTA)
- **Authorized official phone:** (406) 771-4543

## Contact information

- **Practice address:** 1130 17 TH AVE SOUTH, GREAT FALLS, MT 59405
- **Practice address phone:** (406) 771-4543
- **Practice address fax:** (406) 771-4569
- **Mailing address:** 508 50TH ST S, GREAT FALLS, MT 59405-3839
- **Mailing address phone:** (406) 217-7193
- **Mailing address fax:** (406) 771-4569

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 1533 | MT | Yes |

## Other

- **Enumeration date:** 12/05/2014
- **Last updated:** 12/05/2014