# GENESUS REHAB SERVICES

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

## Provider details

- **NPI number:** 1467856641
- **Authorized official:** MS. TRACY MITCHEL (DELEGATED OFFICAL)
- **Authorized official phone:** (610) 925-4477

## Contact information

- **Practice address:** 1104 WELSH RD, PHILADELPHIA, PA 19115-3730
- **Practice address phone:** (215) 676-9191
- **Mailing address:** 1104 WELSH RD, PHILADELPHIA, PA 19115-3730

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | TE009839 | PA | Yes |

## Other

- **Enumeration date:** 10/16/2014
- **Last updated:** 10/16/2014
