# GENISIS HEALTHCARE

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

## Provider details

- **NPI number:** 1851691646
- **Authorized official:** STEPHANIE GEISSEL COTA (COTA)
- **Authorized official phone:** (201) 541-4323

## Contact information

- **Practice address:** 101 E STATE ST, KENNETT SQUARE, PA 19348-3109
- **Practice address phone:** (610) 645-8428
- **Mailing address:** 379 LONG HILL RD, GILLETTE, NJ 07933-1431
- **Mailing address phone:** (908) 295-5150

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320700000X | Physical Disabilities Residential Treatment Facility | 46TA09004100 | NJ | Yes |

## Other

- **Enumeration date:** 10/26/2010
- **Last updated:** 10/26/2010