Organization
GENESIS REHABILITATION SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY OCHS MS CCC SLP (PROGRAM MANAGER)
(863) 607-5948
Entity
Organization
Contact information
Practice address
4240 LAKELAND HIGHLANDS RD, LAKELAND, FL 33813-3113
(863) 607-5948
(863) 644-4202
Mailing address
5637 BROOK LOOP, LAKELAND, FL 33811-1647
(863) 647-3853
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
PTA14040
FL
Other
Enumeration date
04/24/2007
Last updated
08/22/2020
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