# GENESIS REHAB SERVICES

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

## Provider details

- **NPI number:** 1215212105
- **Authorized official:** KERRI MYERS (HUMAN RESOURCES)
- **Authorized official phone:** (610) 925-2352

## Contact information

- **Practice address:** 1012 W BAYFRONT PKWY, ERIE, PA 16507-2324
- **Practice address phone:** (814) 455-1630
- **Mailing address:** 101 E STATE ST, KENNETT SQUARE, PA 19348-3109
- **Mailing address phone:** (610) 925-2352

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 310400000X | Assisted Living Facility | OC010504 | PA | Yes |

## Other

- **Enumeration date:** 10/11/2011
- **Last updated:** 10/11/2011