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Organization
GENESIS ELDERCARE REHAB SVCS
Active
Organization
GENESIS ELDERCARE REHAB SVCS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. VALERIE JEANNE FOGEL LICENSE (PHYSICAL THERAPIST ASSISTAND)
(203) 720-3411
Entity
Organization
Contact information
Practice address
4 HAZEL AVE, NAUGATUCK, CT 06770-4706
(203) 723-1456
(203) 720-0242
Mailing address
101 E STATE ST, KENNETT SQUARE, PA 19348-3109
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
000186
CT
Other
Enumeration date
08/10/2010
Last updated
08/10/2010
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