# GENESIS REHAB

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1770725137
- **Authorized official:** CLARIVI W NOBLEJAS RPT (PT)
- **Authorized official phone:** (407) 324-7204

## Contact information

- **Practice address:** 5133 MAJESTIC WOODS PLACE, SANFORD, FL 32771
- **Practice address phone:** (407) 324-3980
- **Mailing address:** 5133 MAJESTIC WOODS PL, SANFORD, FL 32771-5401
- **Mailing address phone:** (407) 324-3980

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320700000X | Physical Disabilities Residential Treatment Facility | PT9967 | FL | Yes |

## Other

- **Enumeration date:** 04/01/2009
- **Last updated:** 04/01/2009