Organization
GENESIS REHAB
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TARA CAMERON (COTA)
(941) 421-6956
Entity
Organization
Contact information
Practice address
1111 DRURY LN, ENGLEWOOD, FL 34224-4545
(941) 474-9371
Mailing address
1111 DRURY LN, ENGLEWOOD, FL 34224-4545
(941) 474-9371
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
OTA 11900
FL
Other
Enumeration date
01/17/2012
Last updated
01/17/2012
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