Organization
200 MARTER AVENUE OPERATIONS LLC
Active
Parent organization
GENESIS NJ HOLDINGS LLC
Other names
PowerBack Rehabilitation Moorestown
Organization subpart
Yes
Provider details
NPI number
Legal business name
GENESIS NJ HOLDINGS LLC
Authorized official
GEORGE V. HAGER (CEO)
(610) 444-6350
Entity
Organization
Contact information
Practice address
200 MARTER AVENUE, MOORESTOWN, NJ 08057-3114
(610) 444-6350
(610) 444-4395
Mailing address
101 E STATE ST, KENNETT SQUARE, PA 19348-3109
(610) 444-6350
(610) 444-4395
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
060216
NJ
Other
Enumeration date
02/20/2014
Last updated
02/20/2014
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