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Organization

GENESIS HEALTH CARE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. TONIA MICHELLE MCKINNEY COTA/L (OCCUPATIONAL THERAPIST ASSISTANT)
(270) 625-2944
Entity
Organization

Contact information

Practice address
11524 DAWSON ROAD, PRINCETON, KY 42445
(270) 625-2944
Mailing address
11524 DAWSON RD, PRINCETON, KY 42445-6224
(270) 625-2944

Taxonomy

Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
KYA2305
KY

Other

Enumeration date
03/13/2014
Last updated
03/13/2014
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