Organization
GENESIS REHAB SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KELLY R CHANDLER COTA/L (COTA/L)
(321) 412-5716
Entity
Organization
Contact information
Practice address
7201 GREENBORO DR APT 7, WEST MELBOURNE, FL 32904-1698
(321) 412-5716
Mailing address
7570 GREENBORO DR APT 7, WEST MELBOURNE, FL 32904-1642
(321) 412-5716
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
OTA10545
FL
Other
Enumeration date
11/26/2008
Last updated
11/26/2008
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