# GENESIS REHABILITATION

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

## Provider details

- **NPI number:** 1871968461
- **Authorized official:** ANNIE MANII (REGIONAL REHAB DIRECTOR)
- **Authorized official phone:** (703) 404-1000

## Contact information

- **Practice address:** 8000 ILIFF DR, DUNN LORING, VA 22027-1235
- **Practice address phone:** (703) 444-1000
- **Mailing address:** 8000 ILIFF DR, DUNN LORING, VA 22027-1235

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 0119003307 | VA | Yes |

## Other

- **Enumeration date:** 12/08/2015
- **Last updated:** 12/08/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0119003307 | COMMONWEALTH OF VIRGINIA | VA |
