# GENESIS REHAB

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

## Provider details

- **NPI number:** 1891018750
- **Authorized official:** MS. BETHANY ANN KOCH NACCCSLP (PROGRAM MANAGER)
- **Authorized official phone:** (216) 361-6141

## Contact information

- **Practice address:** 600 S BROAD ST, KENNETT SQUARE, PA 19348-3346
- **Practice address phone:** (610) 925-4551
- **Mailing address:** 3383 COLWYN RD, SHAKER HTS, OH 44120-4221
- **Mailing address phone:** (216) 333-2848

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 00598 | OH | Yes |

## Other

- **Enumeration date:** 03/08/2010
- **Last updated:** 03/08/2010