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Organization
GENESIS REHAB
Active
Organization
GENESIS REHAB
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CLARIVI W NOBLEJAS RPT (PT)
(407) 324-7204
Entity
Organization
Contact information
Practice address
5133 MAJESTIC WOODS PLACE, SANFORD, FL 32771
(407) 324-3980
Mailing address
5133 MAJESTIC WOODS PL, SANFORD, FL 32771-5401
(407) 324-3980
Taxonomy
Speciality
Code
Description
License number
State
320700000X
Physical Disabilities Residential Treatment Facility
Primary
PT9967
FL
Other
Enumeration date
04/01/2009
Last updated
04/01/2009
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