Organization
GENESUS REHAB SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TRACY MITCHEL (DELEGATED OFFICAL)
(610) 925-4477
Entity
Organization
Contact information
Practice address
1104 WELSH RD, PHILADELPHIA, PA 19115-3730
(215) 676-9191
Mailing address
1104 WELSH RD, PHILADELPHIA, PA 19115-3730
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
TE009839
PA
Other
Enumeration date
10/16/2014
Last updated
10/16/2014
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