Organization
GENESIS REHABILITATION SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS MAUREEN PATRICIA COSTELLO MS CCC/SLP (SPEECH LANGUAGE PATHOLOGIST)
(215) 833-1339
Entity
Organization
Contact information
Practice address
101 E STATE ST, KENNETT SQUARE, PA 19348-3109
(800) 992-9711
Mailing address
2405 LYNBROOKE DR, YARDLEY, PA 19067-7272
(215) 757-2659
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
SL008496
PA
Other
Enumeration date
07/07/2009
Last updated
07/07/2009
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