# GENESISREHAB SERVICES

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

## Provider details

- **NPI number:** 1881010569
- **Authorized official:** MR. MARK ALAN BURBA (PT)
- **Authorized official phone:** (270) 769-9733

## Contact information

- **Practice address:** 225 SAINT JOHN RD, ELIZABETHTOWN, KY 42701-2918
- **Practice address phone:** (270) 769-3314
- **Mailing address:** 225 SAINT JOHN RD, ELIZABETHTOWN, KY 42701-2918
- **Mailing address phone:** (270) 769-3314

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 313M00000X | Nursing Facility/Intermediate Care Facility | KY 002888 | KY | Yes |

## Other

- **Enumeration date:** 03/05/2014
- **Last updated:** 03/05/2014