# GENESIS REHAB

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

## Provider details

- **NPI number:** 1679808240
- **Authorized official:** REBECCA NESBITT (PROGRAM MANAGER)
- **Authorized official phone:** (704) 532-5364

## Contact information

- **Practice address:** 3800 SHAMROCK DR, CHARLOTTE, NC 28215-3220
- **Practice address phone:** (704) 532-5364
- **Mailing address:** 3800 SHAMROCK DR, CHARLOTTE, NC 28215-3220

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 4255 | NC | Yes |

## Other

- **Enumeration date:** 10/14/2009
- **Last updated:** 10/14/2009