# GENESIS REHAB. SERVICES

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** MAGALINE AYERS
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1669800025
- **Legal business name:** MAGALINE AYERS
- **Authorized official:** MRS. AUDREY F JESSUP COTA/L (REHAB)
- **Authorized official phone:** (336) 351-3401

## Contact information

- **Practice address:** 1471 DEER RD, MT AIRY, NC 27030-1471
- **Practice address phone:** (336) 351-3401
- **Mailing address:** 1471 DEER RD, MOUNT AIRY, NC 27030-7407
- **Mailing address phone:** (336) 351-3401
- **Mailing address fax:** (336) 351-4344

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320700000X | Physical Disabilities Residential Treatment Facility | 1722 | NC | Yes |

## Other

- **Enumeration date:** 10/23/2013
- **Last updated:** 10/23/2013