Organization
GENESIS REHAB SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT PREIST PM (PROGRAM MANAGER)
(843) 237-0343
Entity
Organization
Contact information
Practice address
120 LAKES AT LITCHFIELD DR, PAWLEYS ISLAND, SC 29585-5502
(843) 237-0343
(843) 235-4024
Mailing address
120 LAKES AT LITCHFIELD DR, PAWLEYS ISLAND, SC 29585-5502
(843) 237-0343
(843) 235-4024
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
OTA.3001 OTA
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OTA.3001 OTA
LICENSE NUMER
SC
Enumeration date
08/06/2014
Last updated
08/06/2014
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