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Organization

GENESIS REHABILITATION

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SHELLY MARIE DAVIS PTA (PTA)
(406) 771-4543
Entity
Organization

Contact information

Practice address
1130 17 TH AVE SOUTH, GREAT FALLS, MT 59405
(406) 771-4543
(406) 771-4569
Mailing address
508 50TH ST S, GREAT FALLS, MT 59405-3839
(406) 217-7193
(406) 771-4569

Taxonomy

Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
1533
MT

Other

Enumeration date
12/05/2014
Last updated
12/05/2014
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