# GENESIS REHAB SERVICES

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

## Provider details

- **NPI number:** 1831313071
- **Authorized official:** MRS. KATHLEEN MARY DURAND OT (CCUPATIONAL THERAPIST)
- **Authorized official phone:** (301) 934-4001

## Contact information

- **Practice address:** 1 MAGNOLIA DR, LA PLATA, MD 20646-9357
- **Practice address phone:** (301) 934-4001
- **Practice address fax:** (301) 392-3726
- **Mailing address:** 42249 BIRD HAVEN DR, LEONARDTOWN, MD 20650-3628
- **Mailing address phone:** (301) 475-1662

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 313M00000X | Nursing Facility/Intermediate Care Facility | 04929 | MD | Yes |

## Other

- **Enumeration date:** 04/12/2007
- **Last updated:** 08/22/2020