# GENESIS HEALTH & REHAB, LLC

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

## Provider details

- **NPI number:** 1982974820
- **Authorized official:** MR. STEPHEN WRIGHT MBA (CONTROLLER)
- **Authorized official phone:** (980) 200-4259

## Contact information

- **Practice address:** 8380 SW 124TH ST, MIAMI, FL 33156-5835
- **Practice address phone:** (305) 238-4800
- **Mailing address:** 1900 DERITA RD STE 103, CONCORD, NC 28027-3355
- **Mailing address phone:** (980) 200-4259
- **Mailing address fax:** (404) 382-6005

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | — | NULL | — |
| 111N00000X | Chiropractor | — | — | — |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 363L00000X | Nurse Practitioner | — | NULL | — |
| 363L00000X | Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 01/10/2012
- **Last updated:** 01/10/2012