Organization
GENESIS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIELLE NICOLE DEANGELO (COTA/L)
(610) 873-5373
Entity
Organization
Contact information
Practice address
2507 CHESTNUT ST, CHESTER, PA 19013-4841
(610) 872-5373
Mailing address
2507 CHESTNUT ST, CHESTER, PA 19013-4841
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
OP006969
DE
314000000X
Skilled Nursing Facility
Primary
OP006969
PA
Other
Enumeration date
10/15/2010
Last updated
10/15/2010
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