# GENESIS

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

## Provider details

- **NPI number:** 1407271851
- **Authorized official:** MS. ANN SARA GROSSO COTA (COTA)
- **Authorized official phone:** (610) 384-7268

## Contact information

- **Practice address:** 916 GREENWOOD CIR, COATESVILLE, PA 19320-2133
- **Practice address phone:** (610) 384-7268
- **Mailing address:** 916 GREENWOOD CIR, COATESVILLE, PA 19320-2133

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | OP002490L | PA | Yes |

## Other

- **Enumeration date:** 02/21/2014
- **Last updated:** 02/21/2014