# GENESIS REHAB SERVICES

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

## Provider details

- **NPI number:** 1477835569
- **Authorized official:** MR. JHOEL MERCADO (PT/PROGRAM MANAGER)
- **Authorized official phone:** (703) 360-4000

## Contact information

- **Practice address:** 200 W UHLER TER, ALEXANDRIA, VA 22301
- **Practice address phone:** (832) 928-5615
- **Mailing address:** 200 UHLER TER, ALEXANDRIA, VA 22301-1552
- **Mailing address phone:** (832) 928-5615

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 313M00000X | Nursing Facility/Intermediate Care Facility | 2202006445 | VA | Yes |

## Other

- **Enumeration date:** 09/14/2011
- **Last updated:** 11/29/2011