# GENESIS HEALTH CARE

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

## Provider details

- **NPI number:** 1649668716
- **Authorized official:** MISS FARHA MOHAMED HAJI JAMALDIN (COTA/L)
- **Authorized official phone:** (904) 899-3270

## Contact information

- **Practice address:** 101 E STATE ST, KENNETT SQUARE, PA 19348-3109
- **Practice address phone:** (352) 240-6403
- **Mailing address:** 101 E STATE ST, KENNETT SQUARE, PA 19348-3109

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 13399 | FL | Yes |

## Other

- **Enumeration date:** 12/24/2014
- **Last updated:** 12/24/2014