Organization
GENESIS REHAB SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CYNTHIA RICHARDSON (PROGRAM MANAGER)
(860) 928-3539
Entity
Organization
Contact information
Practice address
10 THURBER RD, PUTNAM, CT 06260-2518
(860) 928-3539
Mailing address
10 THURBER RD, PUTNAM, CT 06260-2518
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
004387
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
075411
PROVIDER NUMBER
CT
Enumeration date
06/30/2011
Last updated
06/30/2011
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