Organization
GENESIS
Active
Other names
Genesis
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KATHLEEN EILEEN BEACHER I PTA (PHYSICAL THERAPIST ASSISTANT)
(570) 624-3228
Entity
Organization
Contact information
Practice address
124 SCHUYLKILL AVE, SHENANDOAH, PA 17976-1337
(570) 462-0345
Mailing address
124 SCHUYLKILL AVE, SHENANDOAH, PA 17976-1337
(570) 462-0345
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
TEI000175
PA
Other
Enumeration date
06/24/2009
Last updated
06/24/2009
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