# GENESIS REHAB SERVICES

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

## Provider details

- **NPI number:** 1154564102
- **Authorized official:** CHAD FRANK BENNETT M.S., CCC-SLP (SPEECH THERAPIST)
- **Authorized official phone:** (570) 586-1002

## Contact information

- **Practice address:** 100 EDELLA RD, SOUTH ABINGTON TOWNSHIP, PA 18411-1628
- **Practice address phone:** (570) 586-1002
- **Mailing address:** 100 EDELLA RD, SOUTH ABINGTON TOWNSHIP, PA 18411-1628

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 395701 | PA | Yes |

## Other

- **Enumeration date:** 04/07/2009
- **Last updated:** 04/07/2009
