# GENESIS REHAB SERVICES

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

## Provider details

- **NPI number:** 1265841001
- **Authorized official:** ROBERT PREIST PM (PROGRAM MANAGER)
- **Authorized official phone:** (843) 237-0343

## Contact information

- **Practice address:** 120 LAKES AT LITCHFIELD DR, PAWLEYS ISLAND, SC 29585-5502
- **Practice address phone:** (843) 237-0343
- **Practice address fax:** (843) 235-4024
- **Mailing address:** 120 LAKES AT LITCHFIELD DR, PAWLEYS ISLAND, SC 29585-5502
- **Mailing address phone:** (843) 237-0343
- **Mailing address fax:** (843) 235-4024

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR0400X | Rehabilitation Clinic/Center | OTA.3001 OTA | SC | Yes |

## Other

- **Enumeration date:** 08/06/2014
- **Last updated:** 08/06/2014
