Organization
GENESIS REHAB SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS KIMBERLY ANN RIEU MS CCC-SLP (SPEECH-LANGUAGE PATHOLOGIST)
(253) 475-4611
Entity
Organization
Contact information
Practice address
4755 S 48TH ST, TACOMA, WA 98409-1919
(253) 475-4611
(253) 471-9591
Mailing address
5109 46TH STREET CT W, UNIVERSITY PLACE, WA 98466-6657
(253) 732-8806
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
LL60296155
WA
Other
Enumeration date
11/20/2015
Last updated
11/20/2015
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