Organization
GENESIS ELDERCARE REHAB SVCS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. VALERIE JEANNE FOGEL LICENSE (PHYSICAL THERAPIST ASSISTAND)
(203) 720-3411
Entity
Organization
Contact information
Practice address
4 HAZEL AVE, NAUGATUCK, CT 06770-4706
(203) 723-1456
(203) 720-0242
Mailing address
101 E STATE ST, KENNETT SQUARE, PA 19348-3109
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
000186
CT
Other
Enumeration date
08/10/2010
Last updated
08/10/2010
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