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Organization
GENESIS
Active
Organization
GENESIS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT LONG PT (REHAB MANAGER)
(610) 882-4110
Entity
Organization
Contact information
Practice address
4025 GREEN POND RD, BETHLEHEM, PA 18017-9662
(610) 882-4110
Mailing address
721 LINE ST, EASTON, PA 18042-7308
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
NULL
Other
Enumeration date
06/09/2011
Last updated
06/09/2011
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