# GENESIS HEALTH CARE

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

## Provider details

- **NPI number:** 1467878512
- **Authorized official:** MS. TONIA MICHELLE MCKINNEY COTA/L (OCCUPATIONAL THERAPIST ASSISTANT)
- **Authorized official phone:** (270) 625-2944

## Contact information

- **Practice address:** 11524 DAWSON ROAD, PRINCETON, KY 42445
- **Practice address phone:** (270) 625-2944
- **Mailing address:** 11524 DAWSON RD, PRINCETON, KY 42445-6224
- **Mailing address phone:** (270) 625-2944

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | KYA2305 | KY | Yes |

## Other

- **Enumeration date:** 03/13/2014
- **Last updated:** 03/13/2014