Organization
GENESIS HEALTH CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BETHANY HOGAN OTR (OCCUPATIONAL THERAPIST)
(330) 760-4989
Entity
Organization
Contact information
Practice address
4360 BRECKSVILLE RD, RICHFIELD, OH 44286-9457
(330) 659-6166
Mailing address
11841 ABBEY ROAD, NORTH ROYALTON, OH 44133
(440) 237-3112
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
OTA 04109
OH
Other
Enumeration date
03/18/2010
Last updated
03/18/2010
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