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Organization
GENESIS REHABILITATION
Active
Organization
GENESIS REHABILITATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANNIE MANII (REGIONAL REHAB DIRECTOR)
(703) 404-1000
Entity
Organization
Contact information
Practice address
8000 ILIFF DR, DUNN LORING, VA 22027-1235
(703) 444-1000
Mailing address
8000 ILIFF DR, DUNN LORING, VA 22027-1235
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
0119003307
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0119003307
COMMONWEALTH OF VIRGINIA
VA
Enumeration date
12/08/2015
Last updated
12/08/2015
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