Organization
GENESIS REHAB SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NIKETA DHAVAL PATEL C.O.T.A. (PROGRAM MANAGER / COTA)
(734) 306-3054
Entity
Organization
Contact information
Practice address
34330 VAN BORN RD, WAYNE, MI 48184-2472
(734) 721-9108
(734) 729-5782
Mailing address
34330 VAN BORN RD, WAYNE, MI 48184-2472
(734) 721-9108
(734) 729-5782
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
5202006033
MI
Other
Enumeration date
09/13/2013
Last updated
09/13/2013
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