Organization
GENESIS REHAB
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CRYSTAL CLAYTON (SPEECH-LANGUAGE PATHOLOGIST)
(270) 256-8293
Entity
Organization
Contact information
Practice address
225 SAINT JOHN RD, ELIZABETHTOWN, KY 42701-2918
(270) 769-3314
Mailing address
584 CLOVER LN UNIT A, ELIZABETHTOWN, KY 42701-2992
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
4023
KY
Other
Enumeration date
03/13/2014
Last updated
03/13/2014
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