# GENESIS HEALTH CARE

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

## Provider details

- **NPI number:** 1598989477
- **Authorized official:** MR. BRENDA LAVONNE GREEN PTA (PHYSICAL THERAPY ASSISTANT)
- **Authorized official phone:** (410) 674-3755

## Contact information

- **Practice address:** 35 MILKSHAKE LN, ANNAPOLIS, MD 21403-1507
- **Practice address phone:** (410) 269-5100
- **Practice address fax:** (410) 216-9123
- **Mailing address:** 1909 BULRUSH CT, ODENTON, MD 21113-2924
- **Mailing address phone:** (410) 269-5100
- **Mailing address fax:** (410) 216-9123

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 313M00000X | Nursing Facility/Intermediate Care Facility | A2933 | MD | Yes |

## Other

- **Enumeration date:** 04/12/2007
- **Last updated:** 09/06/2023