# GENESIS

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

## Provider details

- **NPI number:** 1225329170
- **Authorized official:** MR. EDINSON A SALAZAR PTA (PHYSICAL THERAPY ASSISTANT)
- **Authorized official phone:** (610) 872-5373

## Contact information

- **Practice address:** 167 DARLING ST, NEWARK, DE 19702-3761
- **Practice address phone:** (302) 983-2138
- **Mailing address:** 167 DARLING ST, NEWARK, DE 19702-3761
- **Mailing address phone:** (302) 983-2138

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | TE0008861 | DE | Yes |

## Other

- **Enumeration date:** 04/27/2011
- **Last updated:** 04/27/2011