Organization
GENESIS REHAB SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHAD FRANK BENNETT M.S., CCC-SLP (SPEECH THERAPIST)
(570) 586-1002
Entity
Organization
Contact information
Practice address
100 EDELLA RD, SOUTH ABINGTON TOWNSHIP, PA 18411-1628
(570) 586-1002
Mailing address
100 EDELLA RD, SOUTH ABINGTON TOWNSHIP, PA 18411-1628
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
395701
PA
Other
Enumeration date
04/07/2009
Last updated
04/07/2009
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