Organization
GENESIS REHAB SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIFFANY COTTRILL MS CCC-SLP (SPEECH LANGUAGE PATHOLOGIST)
(217) 549-8829
Entity
Organization
Contact information
Practice address
901 NEWCASTLE DR APT 3, CHAMPAIGN, IL 61822-1814
(217) 549-8829
Mailing address
901 NEWCASTLE DR APT 3, CHAMPAIGN, IL 61822-1814
(217) 549-8829
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
146009784
IL
Other
Enumeration date
04/18/2013
Last updated
04/18/2013
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