Organization
GENESIS HEALTHCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELINDA JACOBS (THERAPY MGR)
(937) 829-9056
Entity
Organization
Contact information
Practice address
1390 KING TREE DR, DAYTON, OH 45405-1401
(937) 278-0723
(937) 276-8675
Mailing address
536 UNGER AVE, ENGLEWOOD, OH 45322-2027
(937) 832-3250
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
OTA 02070
OH
Other
Enumeration date
04/05/2007
Last updated
07/27/2009
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