Organization
GENESIS REHABILITATION SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLOTTE DAVIS RN, BSN, CART (CEO/CNO)
(210) 698-1836
Entity
Organization
Contact information
Practice address
21810 BURBANK HL, SAN ANTONIO, TX 78256-1677
(210) 698-1836
(210) 698-1836
Mailing address
21810 BURBANK HL, SAN ANTONIO, TX 78256-1677
(210) 698-1836
(210) 698-1836
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
2644951
TX
251C00000X
Developmentally Disabled Services Day Training Agency
2644951
TX
251E00000X
Home Health Agency
2644951
TX
251J00000X
Nursing Care Agency
2644951
TX
251S00000X
Community/Behavioral Health Agency
2644951
TX
253Z00000X
In Home Supportive Care Agency
2644951
TX
Other
Enumeration date
06/20/2011
Last updated
06/30/2011
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