Organization
GENESIS ELDERCARE REHAB SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANTA CALDWELL COTA (OTA)
(314) 761-8823
Entity
Organization
Contact information
Practice address
250 NEW FLORISSANT ROAD, FLORISSANT, MO 63031
(314) 830-7950
Mailing address
2330 LOUISIANA AVE, APT1, SAINT LOUIS, MO 63104-1708
(314) 761-8823
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
2008019516
MO
Other
Enumeration date
09/02/2009
Last updated
09/02/2009
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