Organization
GENESIS REHAB SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY D. HEXOM MA, CCC-SLP (SPEECH-LANGUAGE PATHOLOGIST)
(719) 473-1283
Entity
Organization
Contact information
Practice address
10 SPENCER AVE APT A, MANITOU SPRINGS, CO 80829-2962
(970) 361-1150
Mailing address
10 SPENCER AVE APT A, MANITOU SPRINGS, CO 80829-2962
(970) 361-1150
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
02/22/2011
Last updated
02/22/2011
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