Organization
GENESIS REHAB SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRACY MITCHEL (DELEGATED OFFICIAL)
(610) 925-4477
Entity
Organization
Contact information
Practice address
1104 WELSH RD, PHILADELPHIA, PA 19115-3730
(215) 676-9191
Mailing address
56 FAIRVIEW AVE, MORRISVILLE, PA 19067-1075
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
SL000729L
PA
Other
Enumeration date
10/02/2014
Last updated
10/02/2014
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