# GENESIS HEALTHCARE

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

## Provider details

- **NPI number:** 1508241670
- **Authorized official:** THOMAS JAMES KELLY (PHYSICAL THERAPIST ASSISTANT)
- **Authorized official phone:** (215) 237-1795

## Contact information

- **Practice address:** 530 MACOBY ST, PENNSBURG, PA 18073-1112
- **Practice address phone:** (215) 679-8076
- **Mailing address:** 2835 E ORVILLA RD, HATFIELD, PA 19440-2042

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 07/29/2015
- **Last updated:** 07/29/2015