# GENESIS

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

## Provider details

- **NPI number:** 1477820314
- **Authorized official:** MATTHEW SCHORNER (PROGRAM DIRECTOR)
- **Authorized official phone:** (215) 271-1080

## Contact information

- **Practice address:** 101 E STATE ST, KENNETT SQUARE, PA 19348-3109
- **Practice address phone:** (610) 444-6350
- **Mailing address:** 101 E STATE ST, KENNETT SQUARE, PA 19348-3109

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | SL010646 | PA | Yes |

## Other

- **Enumeration date:** 11/21/2011
- **Last updated:** 11/21/2011