Organization
GENESIS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW SCHORNER (PROGRAM DIRECTOR)
(215) 271-1080
Entity
Organization
Contact information
Practice address
101 E STATE ST, KENNETT SQUARE, PA 19348-3109
(610) 444-6350
Mailing address
101 E STATE ST, KENNETT SQUARE, PA 19348-3109
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
SL010646
PA
Other
Enumeration date
11/21/2011
Last updated
11/21/2011
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