Organization
GENESIS REHAB
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BETHANNE LYNN PAGE M.S. (SPEECH LANGUAGE PATHOLOGIST)
(603) 630-3576
Entity
Organization
Contact information
Practice address
175 BLUEBERRY LN, LACONIA, NH 03246-2918
(603) 528-7036
Mailing address
175 BLUEBERRY LN, LACONIA, NH 03246-2918
(603) 528-7036
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
P-0429
NH
Other
Enumeration date
02/08/2010
Last updated
02/08/2010
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