Organization
GENESIS ELDERCARE REHAB SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KELLY YVONNE WHITLEY M.S. (SPEECH PATHOLOGIST)
(410) 908-2604
Entity
Organization
Contact information
Practice address
3855 GREENSPRING AVE, BALTIMORE, MD 21211-3300
(410) 225-9160
Mailing address
101 W CONWAY ST, BALTIMORE, MD 21201-2422
(410) 908-2604
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
235Z00000X
MD
Other
Enumeration date
04/18/2011
Last updated
04/18/2011
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