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Organization
GENESIS REHAB SERVICES
Active
Organization
GENESIS REHAB SERVICES
Active
Other names
SCHUYLKILL MEDICAL CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DARCIE NAN ROEDER (PHY. THERAPY ASSISTANT)
(570) 621-7432
Entity
Organization
Contact information
Practice address
14 KIEHNER RD, SCHUYLKILL HAVEN, PA 17972-8999
(570) 739-4526
Mailing address
14 KIEHNER RD, SCHUYLKILL HAVEN, PA 17972-8999
(570) 739-4526
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
TE1000270
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
TE1000270
PT ASSISTANT PENNSYLVANIA STATE LICENSE
PA
Enumeration date
03/25/2011
Last updated
03/25/2011
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