Organization
GENESIS REHAB, INC.
Active
Parent organization
GENESIS REHAB, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
GENESIS REHAB, INC.
Authorized official
MR. WILLIAM J HOLMAN PT (PRESIDENT)
(334) 289-5696
Entity
Organization
Contact information
Practice address
508 GREEN ST, GREENSBORO, AL 36744-2316
(334) 289-5696
Mailing address
1351 US HIGHWAY 80 W, DEMOPOLIS, AL 36732-4125
(334) 289-5696
(334) 289-5578
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
PTH3269
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
529927890
—
AL
Enumeration date
09/09/2008
Last updated
09/09/2008
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