# 200 MARTER AVENUE OPERATIONS LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** GENESIS NJ HOLDINGS LLC
- **Other names:** PowerBack Rehabilitation Moorestown
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1316362809
- **Legal business name:** GENESIS NJ HOLDINGS LLC
- **Authorized official:** GEORGE V. HAGER (CEO)
- **Authorized official phone:** (610) 444-6350

## Contact information

- **Practice address:** 200 MARTER AVENUE, MOORESTOWN, NJ 08057-3114
- **Practice address phone:** (610) 444-6350
- **Practice address fax:** (610) 444-4395
- **Mailing address:** 101 E STATE ST, KENNETT SQUARE, PA 19348-3109
- **Mailing address phone:** (610) 444-6350
- **Mailing address fax:** (610) 444-4395

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 060216 | NJ | Yes |

## Other

- **Enumeration date:** 02/20/2014
- **Last updated:** 02/20/2014