Organization
GENESIS HEALTHCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS JAMES KELLY (PHYSICAL THERAPIST ASSISTANT)
(215) 237-1795
Entity
Organization
Contact information
Practice address
530 MACOBY ST, PENNSBURG, PA 18073-1112
(215) 679-8076
Mailing address
2835 E ORVILLA RD, HATFIELD, PA 19440-2042
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
07/29/2015
Last updated
07/29/2015
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