Organization
GENESIS REHAB SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA WRIGHT (SPEECH PATHOLOGIST)
(314) 503-7116
Entity
Organization
Contact information
Practice address
5022 DEVILLE AVE, SAINT LOUIS, MO 63119-4324
(314) 503-7116
Mailing address
5022 DEVILLE AVE, SAINT LOUIS, MO 63119-4324
(314) 503-7116
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
MO
Other
Enumeration date
08/25/2009
Last updated
08/25/2009
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